Mitchell-Jerdan Ambulance Service

LBN: Mitchell-Jerdan Funeral Home Ltd
Mitchell-Jerdan Ambulance Service is an health care organization with primary practice located at 1200 Wabash Ave , Mattoon IL 61938-4142. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Mitchell-Jerdan Funeral Home Ltd can be contacted via phone (217) 234-8828, or through Jerdan, Gregory L. via phone (217) 234-8828.

Contact Information

Primary practice address
1200 Wabash Ave Mattoon IL 61938-4142
Fax: (217) 258-0786
Website:
Authorized official contact:
Name: Jerdan, Gregory L.

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 66792 Illinois

Profile Details

NPI number 1245453190
LBN Legal business name Mitchell-Jerdan Funeral Home Ltd
DBA Doing business as Mitchell-Jerdan Ambulance Service
Authorized official Jerdan, Gregory L.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Mar 13th, 2012 - about 14 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 1245453190 NPPES
Illinois Other 168847 PERSONAL CARE INSURANCE
Illinois Other 590128024 PERSONAL CARE INSURANCE
Illinois Other 0001570051 PERSONAL CARE INSURANCE

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