NPIMap

Organization Active NPI

Cerro Gordo Comm Amb SRVC

  • Land Ambulance
  • Cerro Gordo, IL
National Provider Identifier
1013050897
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
66541 Issued in IL
Legal business name
CERRO GORDO COMM AMB SRVC
Practice address
304 E North St
Cerro Gordo, IL 61818-0181
Phone
(217) 763-5251
Fax
(217) 763-6173
NPI assigned
Feb 14, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Curt Vulgamott
Title
Board of Directors President
Phone
(217) 763-5251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 66541 IL Primary

Addresses

Primary practice location

304 E North St
Cerro Gordo, IL 61818-0181

Mailing address

PO Box 181
304 E North St
Cerro Gordo, IL 61818-0181
Phone (217) 763-5251

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1013050897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181",
            "address_2": "304 E NORTH ST",
            "city": "CERRO GORDO",
            "state": "IL",
            "postal_code": "618180181",
            "telephone_number": "217-763-5251",
            "fax_number": "217-763-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E NORTH ST",
            "city": "CERRO GORDO",
            "state": "IL",
            "postal_code": "618180181",
            "telephone_number": "217-763-5251",
            "fax_number": "217-763-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERRO GORDO COMM AMB SRVC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "VULGAMOTT",
        "authorized_official_first_name": "CURT",
        "authorized_official_title_or_position": "BOARD OF DIRECTORS PRESIDENT",
        "authorized_official_telephone_number": "217-763-5251"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "66541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerro Gordo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.