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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us