Organization
AUBURN AREA AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HALLERBERG (SECRETARY,TREASURER)
(217) 438-4091
Entity
Organization
Contact information
Practice address
200 W WASHINGTON ST, AUBURN, IL 62615-1149
(217) 523-3636
(217) 522-1404
Mailing address
200 W WASHINGTON ST, PO BOX 261, AUBURN, IL 62615-1149
(217) 523-3636
(217) 522-1404
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
33640
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08432018
BCBS OF ILLINOIS
IL
01
—
109113
PERSONAL CARE INS OF ILL
IL
01
—
590014812
PALMETTO GBA RAILROAD MED
IL
Enumeration date
11/21/2006
Last updated
06/19/2012
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