Organization
SUPERIOR AIR-GROUND AMBULANCE SERVICE, INC
Active
Other names
Superior Ambulance Service, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID B. HILL III (PRESIDENT)
(630) 832-2012
Entity
Organization
Contact information
Practice address
395 W LAKE ST, ELMHURST, IL 60126-1508
(630) 832-2012
(630) 832-2169
Mailing address
395 W LAKE ST, ELMHURST, IL 60126-1508
(630) 832-2012
(630) 832-2169
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1690746 8-7213
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000517875
ANTHEM BC/BS
IN
01
—
01690046
BLUECROSS BLUESHIELD
IL
05
—
100030530B
—
IN
05
—
188077058
—
MI
Enumeration date
05/03/2006
Last updated
07/14/2014
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