Organization
SCHWARZ AMBULANCE SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD RUSSELL (OWNER)
(815) 235-2353
Entity
Organization
Contact information
Practice address
816 S GALENA AVE, FREEPORT, IL 61032-5542
(815) 235-2353
Mailing address
816 S GALENA AVE, FREEPORT, IL 61032-5542
(815) 235-2353
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1616904
IL
3416L0300X
Land Ambulance
1616905
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08921946
BCBS OF ILLINOIS
IL
05
—
362962022001
—
IL
Enumeration date
12/28/2006
Last updated
08/22/2020
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