Lakeside Ems Llc

LBN: Lakeside Ems Llc
Lakeside Ems Llc is an health care organization with primary practice located at 815 S Maple St , Effingham IL 62401-2641. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Lakeside Ems Llc can be contacted via phone (217) 994-2046, or through Estes, Jerrod via phone (217) 994-2046.

Contact Information

Primary practice address
815 S Maple St Effingham IL 62401-2641
Phone: (217) 994-2046
Fax: (724) 794-1633
Website:
Map and Directions
Authorized official contact:
Name: Estes, Jerrod
Phone: (217) 994-2046

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 060409935 Illinois

Profile Details

NPI number 1093211823
LBN Legal business name Lakeside Ems Llc
DBA Doing business as Lakeside Ems Llc
Authorized official Estes, Jerrod
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2018
Last updated Aug 9th, 2021 - about 5 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 1093211823 NPPES
Illinois Other 5219-01 LICENSE NUMBER

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