Provider Demographics
NPI:1336537885
Name:AMBULANCE RESCUE 33 LTD.
Entity Type:Organization
Organization Name:AMBULANCE RESCUE 33 LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECREATARY DELEGATED OFFICIAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HEDDEN-SCHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-648-6645
Mailing Address - Street 1:PO BOX 204
Mailing Address - Street 2:1217 N SANTA FE
Mailing Address - City:CHILLICOTHE
Mailing Address - State:IL
Mailing Address - Zip Code:61523-1550
Mailing Address - Country:US
Mailing Address - Phone:309-274-5507
Mailing Address - Fax:309-274-5507
Practice Address - Street 1:1217 N SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:IL
Practice Address - Zip Code:61523-1550
Practice Address - Country:US
Practice Address - Phone:309-274-5507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-07
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL022567341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance