Provider Demographics
NPI:1427311604
Name:BUNKER HILL AREA AMBULANCE SERVICE INC.
Entity type:Organization
Organization Name:BUNKER HILL AREA AMBULANCE SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:TOD
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-585-3945
Mailing Address - Street 1:123 SOUTH WASHINGTON ST.
Mailing Address - Street 2:POST OFFICE BOX 309
Mailing Address - City:BUNKER HILL
Mailing Address - State:IL
Mailing Address - Zip Code:62014
Mailing Address - Country:US
Mailing Address - Phone:618-585-3945
Mailing Address - Fax:
Practice Address - Street 1:123 SOUTH WASHINGTON ST.
Practice Address - Street 2:
Practice Address - City:BUNKER HILL
Practice Address - State:IL
Practice Address - Zip Code:62014
Practice Address - Country:US
Practice Address - Phone:618-585-3945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance