institution
Forman Ambulance Service
Air Ambulance in Manito, Illinois
NPI 1700871910

Forman Ambulance Service is an Air Ambulance based in Manito, IL and is specialized in Air Transport. Forman Ambulance Service practices in Manito, IL. The NPI Number for Forman Ambulance Service is 1700871910 and holds a License No. 1660298 (Illinois).

The current practice location address for Forman Ambulance Service is 205 N Broadway, Manito, IL and can be reached out via phone at 309-968-6902 and via fax at 309-968-6649.

Location: 205 N Broadway, Manito, IL, 61546-0648
institution
Provider Profile Details
NPI Number
1700871910
Provider Name
Forman Ambulance Service
Credential
Provider Entity Type
Organization
Address
205 N Broadway, Manito, IL, 61546-0648
Phone Number
309-968-6902
Fax Number
309-968-6649
Provider Enumeration Date
09/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
237154244001 05 IL
institution
Provider Business Practice Location Address Details
Address
205 N Broadway
City
State
Zip
61546-0648
Phone Number
309-968-6902
Fax Number
309-968-6649
person
Provider Business Mailing Address Details
Address
205 N Broadway
City
State
Zip
61546-0648
Phone Number
309-968-6902
Fax Number
309-968-6649
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Air Transport
Taxonomy
License No.
1660298 (Illinois)
Definition
Definition to come...
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