Provider Demographics
NPI:1104922830
Name:DUNNS AMBULANCE SERVICE INC
Entity type:Organization
Organization Name:DUNNS AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-824-6999
Mailing Address - Street 1:PO BOX 43
Mailing Address - Street 2:
Mailing Address - City:TAYLORVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62568-0043
Mailing Address - Country:US
Mailing Address - Phone:217-824-6999
Mailing Address - Fax:217-824-6989
Practice Address - Street 1:305 E MAIN CROSS ST
Practice Address - Street 2:
Practice Address - City:TAYLORVILLE
Practice Address - State:IL
Practice Address - Zip Code:62568-2653
Practice Address - Country:US
Practice Address - Phone:217-824-6999
Practice Address - Fax:217-824-6989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3623013416L0300X
IL2920343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered3416L0300XTransportation ServicesAmbulanceLand Transport
Not Answered343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001120617OtherBLUE CROSS
IL0001120617OtherBLUE CROSS
IL=========001Medicaid