Organization
BYE AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL LEWIS SPRECHER (PRESIDENT)
(309) 358-1352
Entity
Organization
Contact information
Practice address
108 E HAWTHORNE, ELMWOOD, IL 61529-7977
(309) 682-5280
(309) 682-5327
Mailing address
PO BOX 33, 108 E HAWTHORNE, ELMWOOD, IL 61529-7977
(309) 682-5280
(309) 682-5327
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
000002569
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07232090
BLUE CROSS BLUE SHIELD
IL
01
—
P00101008
PALMETTO GBA
IL
Enumeration date
02/09/2007
Last updated
05/01/2008
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