Provider Demographics
NPI:1578270161
Name:ARROW AMBULANCE, LLC
Entity Type:Organization
Organization Name:ARROW AMBULANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ARROW AMBULANCE
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-356-3429
Mailing Address - Street 1:210 E UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61820-4213
Mailing Address - Country:US
Mailing Address - Phone:217-356-3429
Mailing Address - Fax:
Practice Address - Street 1:812 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-3822
Practice Address - Country:US
Practice Address - Phone:217-443-3965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARLE HEALTH CARE INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport