Provider Demographics
NPI:1962625285
Name:OREGON AMBULANCE SERVICE,INC
Entity type:Organization
Organization Name:OREGON AMBULANCE SERVICE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:J
Authorized Official - Last Name:FERRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:815-732-7881
Mailing Address - Street 1:101 MADISON ST
Mailing Address - Street 2:PO BOX 122
Mailing Address - City:OREGON
Mailing Address - State:IL
Mailing Address - Zip Code:61061-1824
Mailing Address - Country:US
Mailing Address - Phone:815-732-7881
Mailing Address - Fax:815-732-7881
Practice Address - Street 1:101 MADISON ST
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:IL
Practice Address - Zip Code:61061-1824
Practice Address - Country:US
Practice Address - Phone:815-732-7881
Practice Address - Fax:815-732-7881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL135501341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance