Organization
WYOMING AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARDITH WITTMEYER (TREASURER)
(309) 695-5933
Entity
Organization
Contact information
Practice address
610 N MAIN, WYOMING, IL 61491-0204
(309) 695-5002
Mailing address
PO BOX 204, 610 N MAIN ST, WYOMING, IL 61491-0204
(309) 695-5002
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
22984
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364L02602001
—
IL
Enumeration date
03/15/2007
Last updated
08/22/2020
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