Organization
PRAIRIELAND COMMUNITY AMBULANCE SERVICE CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EARLEY (BOARD PRESIDENT)
(217) 899-3135
Entity
Organization
Contact information
Practice address
610 S SPRINGFIELD ST, VIRDEN, IL 62690-0023
(217) 965-5999
(217) 965-5714
Mailing address
PO BOX 23, VIRDEN, IL 62690-0023
(217) 965-5999
(217) 965-5714
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
33643
IL
3416L0300X
Land Ambulance
Primary
3643
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005932045
BLUE CROSS BLUE SHIELD
IL
01
—
613448800
DOL/OWEP
IL
Enumeration date
03/14/2007
Last updated
10/25/2023
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