NPI
Forman Ambulance Service
NPI 1700871910
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2005-09-14
- Last updated
- 2023-05-11
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Specialties
Licenses
- License IL
- 1660298
Location
- Practice location
- 205 N Broadway
- City
- Manito IL
- Postal code
- 61546-0648
- Phone
- (309) 968-6902
Organization contact
- Name
- Sheron Bortell
- Title
- Authorized Official
- Phone
- (309) 968-6902
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Manito, IL. 16 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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