Provider Demographics
NPI:1427396902
Name:RESCUE ONE PARAMEDIC SERVICES
Entity Type:Organization
Organization Name:RESCUE ONE PARAMEDIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:POINTER
Authorized Official - Suffix:
Authorized Official - Credentials:CCEMT-P
Authorized Official - Phone:217-251-8757
Mailing Address - Street 1:731 E JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:CHRISMAN
Mailing Address - State:IL
Mailing Address - Zip Code:61924-1605
Mailing Address - Country:US
Mailing Address - Phone:217-251-8757
Mailing Address - Fax:
Practice Address - Street 1:731 E JACKSON AVE
Practice Address - Street 2:
Practice Address - City:CHRISMAN
Practice Address - State:IL
Practice Address - Zip Code:61924-1605
Practice Address - Country:US
Practice Address - Phone:217-251-8757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL6720341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance