Provider Demographics
NPI:1831351220
Name:LOMAX AMBULANCE SERVICE INC
Entity type:Organization
Organization Name:LOMAX AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT LOMAX AMBULANCE SERVICE I
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-449-3300
Mailing Address - Street 1:PO BOX 33
Mailing Address - Street 2:
Mailing Address - City:LOMAX
Mailing Address - State:IL
Mailing Address - Zip Code:61454
Mailing Address - Country:US
Mailing Address - Phone:217-449-3300
Mailing Address - Fax:217-449-3300
Practice Address - Street 1:115 AVISTON STREET
Practice Address - Street 2:
Practice Address - City:LOMAX
Practice Address - State:IL
Practice Address - Zip Code:61454
Practice Address - Country:US
Practice Address - Phone:217-449-3300
Practice Address - Fax:217-449-3300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport