Provider Demographics
NPI:1780742163
Name:D. P. MURPHY AMBULANCE COMPANY
Entity type:Organization
Organization Name:D. P. MURPHY AMBULANCE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-816-4600
Mailing Address - Street 1:PO BOX 6990
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-6990
Mailing Address - Country:US
Mailing Address - Phone:847-816-4600
Mailing Address - Fax:847-816-4636
Practice Address - Street 1:1072 S CORPORATE CIR
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-7814
Practice Address - Country:US
Practice Address - Phone:847-816-4600
Practice Address - Fax:847-816-4636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2015-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1079553416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
IL241440Medicare UPIN