Organization
WARREN AREA AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER KENT (BOARD PRESIDENT)
(815) 291-0007
Entity
Organization
Contact information
Practice address
103 W MAIN ST, WARREN, IL 61087
(815) 745-2841
(815) 745-2841
Mailing address
103 W MAIN ST, PO BOX 416, WARREN, IL 61087
(815) 745-2841
(815) 745-2841
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004370499
BCBS
IL
Enumeration date
07/29/2006
Last updated
07/06/2023
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