Provider Demographics
NPI:1902301013
Name:ABILITY TRANSPORTATION INC
Entity Type:Organization
Organization Name:ABILITY TRANSPORTATION INC
Other - Org Name:EAGLE AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:DAUFENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:815-534-0365
Mailing Address - Street 1:24459 W EAMES ST
Mailing Address - Street 2:
Mailing Address - City:CHANNAHON
Mailing Address - State:IL
Mailing Address - Zip Code:60410-5591
Mailing Address - Country:US
Mailing Address - Phone:815-255-2313
Mailing Address - Fax:815-828-5885
Practice Address - Street 1:24457 W EAMES ST
Practice Address - Street 2:
Practice Address - City:CHANNAHON
Practice Address - State:IL
Practice Address - Zip Code:60410-5591
Practice Address - Country:US
Practice Address - Phone:815-255-2313
Practice Address - Fax:815-828-5885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-29
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport