Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Forman Ambulance Service

Organization Air Ambulance · NPI 1700871910

Forman Ambulance Service is an Air Ambulance in Manito, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
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Practice location Address checks out

205 N Broadway
Manito, IL 61546-0648
Phone: (309) 968-6902
Fax: (309) 968-6649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Air Ambulance (primary) Taxonomy 3416A0800X · Licence 1660298 (IL)

Record details

NPI number1700871910
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sheron Bortell — Authorized Official · (309) 968-6902
NPI enumeratedSeptember 14, 2005
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023
Mailing addressPo Box 648, Manito, IL 61546-0648