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FORMAN AMBULANCE SERVICE
NPI 1700871910
Ambulance - Air Transport in Manito, IL

Active since September 14, 2005
205 N BROADWAY, MANITO, IL 61546(309) 968-6902(309) 968-6649 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Forman Ambulance Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORMAN AMBULANCE SERVICE (NPI 1700871910) is a healthcare organization registered as an air transport in Manito, Illinois and active in the NPI registry since September 2005. The organization lists Sheron Kaye Bortell, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1700871910
Entity TypeOrganization
Primary Taxonomy3416A0800X
Legal Business NameFORMAN AMBULANCE SERVICE
Location Address205 N BROADWAYManito, IL 61546-0648
Mailing AddressPo Box 648Manito, IL 61546-0648 · (309) 968-6902 · Fax (309) 968-6649
Phone(309) 968-6902
Fax(309) 968-6649
Organization SubpartNo
Authorized OfficialSheron Kaye BortellAuthorized Official · (309) 968-6902
Enumeration DateSeptember 14, 2005
Last NPPES UpdateMay 11, 20232 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1700871910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Air TransportTransportation Services
Taxonomy Code3416A0800X
License✔ Licensed in IL · 1660298
205 N BROADWAY, Manito, IL 61546
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Other Identifiers 1

Medicaid237154244001IL

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
1,796 services67 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
88 services67 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Forman Ambulance Service's NPI number?

The NPI number for Forman Ambulance Service is 1700871910. It was assigned to this organization in the NPPES registry on September 14, 2005.

Where is Forman Ambulance Service located?

Forman Ambulance Service is located at 205 N Broadway, Manito, IL 61546. The listed phone number is (309) 968-6902.

What is Forman Ambulance Service's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Air Transport, with taxonomy code 3416A0800X.

When was this NPI record last updated?

The NPPES record for Forman Ambulance Service was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.