Organization
ATS MEDICAL SERVICES, LLC
Active
Parent organization
PT-1 HOLDINGS, LLC
Other names
Priority One
Organization subpart
Yes
Provider details
NPI number
Legal business name
PT-1 HOLDINGS, LLC
Authorized official
KATHLEEN LOYA (CHIEF ADMIN OFFICER/CHIEF COMP)
(707) 992-1263
Entity
Organization
Contact information
Practice address
1752 WINDSOR LAKE PARKWAY, SUITE 108, LOVES PARK, IL 61111-4276
(317) 542-1111
(707) 703-4619
Mailing address
PO BOX 771803, CHICAGO, IL 60677-1803
(815) 963-6885
(815) 639-9521
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
12521
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201024140 A
—
IN
01
—
212092
MEDICARE
IL
01
—
720345
ANTHEM BLUE CROSS
IN
05
—
=========
—
IL
01
—
M300047776
MEDICARE ID-TYPE UNSPECIFIED
IN
Enumeration date
08/22/2006
Last updated
06/03/2021
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