Peru Volunteer Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

2 2610 Issued in IL

Legal business name

PERU VOLUNTEER AMBULANCE SERVICE INC

Practice address

111 5TH St
Peru, IL 61354-2005

Phone

(815) 222-4563

Fax

(815) 223-1590

NPI assigned

Aug 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brent Hanson

Title

Executive Director

Phone

(815) 223-1034

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1013025105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 5TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542005",
            "telephone_number": "815-222-4563",
            "fax_number": "815-223-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 5TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542005",
            "telephone_number": "815-222-4563",
            "fax_number": "815-223-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERU VOLUNTEER AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-223-1034",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "2 2610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0005070899",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "590007398",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Alina Pelaez, CADC
• Constantino Perales Jr., M.D.
• Peru Elem School District 124
• Peru Emergency Physicians, LLP
• Peru Primary Care Professionals LLC
• Michael Donald Piller, D.C.
• Plattner Orthopedic Company (Hanger Clinic Plattner)
• Plattner Pedorthic Services
• Julie Pleskovitch, RPH
• Torie Ploch, COTA

• Ambulance in Peru, IL
• Providers in Peru, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.