Provider Demographics
NPI:1902952161
Name:AREA AMBULANCE SERVICE, INC.
Entity Type:Organization
Organization Name:AREA AMBULANCE SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GROTHAUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-836-5992
Mailing Address - Street 1:8834 PLAINVIEW BLACKTOP
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:62685-6577
Mailing Address - Country:US
Mailing Address - Phone:618-836-5992
Mailing Address - Fax:618-836-7709
Practice Address - Street 1:8834 PLAINVIEW BLACKTOP
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:IL
Practice Address - Zip Code:62685-6577
Practice Address - Country:US
Practice Address - Phone:618-836-5992
Practice Address - Fax:618-836-7709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL17699823416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport