Laughlin Ambulance Service

LBN: Ira Burroughs
Laughlin Ambulance Service is an health care organization with primary practice located at 205 Edwardsville Rd , Troy IL 62294-1301. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Ira Burroughs can be contacted via phone (618) 667-7495, or through Burroughs, Ira via phone (618) 667-7495.

Contact Information

Primary practice address
205 Edwardsville Rd Troy IL 62294-1301
Phone: (618) 667-7495
Fax: (618) 667-8114
Website:
Map and Directions
Authorized official contact:
Name: Burroughs, Ira
Phone: (618) 667-7495

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 44876 Illinois

Profile Details

NPI number 1225164064
LBN Legal business name Ira Burroughs
DBA Doing business as Laughlin Ambulance Service
Authorized official Burroughs, Ira
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Jan 15th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225164064 NPPES
Illinois MEDICAID 370948173001

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