Basic Information
Provider Information
NPI: 1093879892
EntityType: 2
ReplacementNPI:  
OrganizationName: HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: HORIZON HEALTH EMERGENCY MEDICAL SERVICES (HHEMS)
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 721 E COURT ST
Address2:  
City: PARIS
State: IL
PostalCode: 619442460
CountryCode: US
TelephoneNumber: 2174654141
FaxNumber: 2174632769
Practice Location
Address1: 721 E COURT ST
Address2:  
City: PARIS
State: IL
PostalCode: 619442460
CountryCode: US
TelephoneNumber: 2174654141
FaxNumber: 2174632769
Other Information
ProviderEnumerationDate: 12/19/2006
LastUpdateDate: 12/16/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: ADAMS
AuthorizedOfficialFirstName: MARTIN
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: VP OF FINANCE AND CFO
AuthorizedOfficialTelephone: 2174664246
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/16/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
341600000X  Y Transportation ServicesAmbulance 

No ID Information.


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