Organization
TRI-COUNTY AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ROGER LAKE (DIRECTOR)
(309) 337-4272
Entity
Organization
Contact information
Practice address
2495 SHEPHERD DR, RIO, IL 61472-9802
(309) 337-4272
Mailing address
PO BOX 97, WOODHULL, IL 61490-0097
(309) 337-4272
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2606
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370999628001
—
IL
Enumeration date
07/11/2006
Last updated
04/26/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up