DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FORMAN AMBULANCE SERVICE

Active Organization

FORMAN AMBULANCE SERVICE is a Air Ambulance Transport organization located in MANITO, Illinois. NPI 1700871910 is currently active in the NPPES registry. Verify at CMS.

Air Ambulance Transport · MANITO, IL

Registration Details

NPI Number
1700871910
Provider Type
Organization
NPI Issued
Sep 14, 2005 (20.909927016746 yrs)
Last Updated
May 11, 2023
License
1660298 (IL)

Practice Information

Address
205 N BROADWAY
MANITO, IL, 615460648
Browse IL providers · Browse ZIP 61546
Phone
3099686902
Fax
3099686649
Primary Specialty
Air Ambulance Transport
3416A0800X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.