Stockton Community Ambulance

LBN: Stockton Fire Protection Dist
Stockton Community Ambulance is an health care organization with primary practice located at 113 E Queen St , Stockton IL 61085-1327. The organization recently has 3 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Intermediate, Emergency Medical Service Providers / Emergency Medical Technician, Basic, Transportation Services / Land Transport. Emergency Medical Service Providers / Emergency Medical Technician, Intermediate is the primary health care specialty. Stockton Fire Protection Dist can be contacted via phone (815) 947-3500, or through Heidenreich, Debra J via phone (815) 947-3023.

Contact Information

Primary practice address
113 E Queen St Stockton IL 61085-1327
Phone: (815) 947-3500
Fax: (815) 947-9102
Website:
Map and Directions
Authorized official contact:
Name: Heidenreich, Debra J PHRN
Phone: (815) 947-3023

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Intermediate 146M00000X 100803 Illinois
Emergency Medical Service Providers / Emergency Medical Technician, Intermediate 146M00000X 100802 Illinois
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 100803 Illinois
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 100802 Illinois
Transportation Services / Land Transport 3416L0300X 100802 Illinois
Transportation Services / Land Transport 3416L0300X 100803 Illinois

Profile Details

NPI number 1629014774
LBN Legal business name Stockton Fire Protection Dist
DBA Doing business as Stockton Community Ambulance
Authorized official Heidenreich, Debra J PHRN
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated May 11th, 2011 - about 15 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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