Provider Demographics
NPI:1942441241
Name:ELITE AMBULANCE SERVICE INC
Entity Type:Organization
Organization Name:ELITE AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTI
Authorized Official - Middle Name:I
Authorized Official - Last Name:VOGRIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-464-3021
Mailing Address - Street 1:22083 MARY DR
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-8073
Mailing Address - Country:US
Mailing Address - Phone:815-464-3021
Mailing Address - Fax:815-464-3021
Practice Address - Street 1:22083 MARY DR
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-8073
Practice Address - Country:US
Practice Address - Phone:815-464-3021
Practice Address - Fax:815-464-3021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)