Organization Active NPI

Logan County Paramedic Association, Inc

  • Ambulance
  • Lincoln, IL
National Provider Identifier
1073506283
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3 3641 Issued in IL
Legal business name
LOGAN COUNTY PARAMEDIC ASSOCIATION, INC
Practice address
1300 N Postville Dr
Lincoln, IL 62656-1071
Phone
(217) 732-2212
Fax
(217) 735-1322
NPI assigned
Aug 24, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steve Siltman, EMT-P
Title
Ceo
Phone
(217) 732-2212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3 3641 IL Primary

Addresses

Primary practice location

1300 N Postville Dr
Lincoln, IL 62656-1071

Mailing address

1300 N Postville Dr
Lincoln, IL 62656-1071
Phone (217) 732-2212

Other identifiers 1

IdentifierTypeStateIssuer
05423505OtherILBLUE CROSS PROVIDER NUMBE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040325000948 IL Part B Supplier - Ambulance Service Supplier 9638061708 Practice locations: Lincoln, IL

National Provider Directory

National Provider Directory

Locations

118 S Walnut St
Lincoln, IL 62656
Phone (217) 732-2212

1300 N Postville Dr
Lincoln, IL 62656
Phone (217) 732-2212

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073506283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N POSTVILLE DR",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626561071",
            "telephone_number": "217-732-2212",
            "fax_number": "217-735-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N POSTVILLE DR",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626561071",
            "telephone_number": "217-732-2212",
            "fax_number": "217-735-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN COUNTY PARAMEDIC ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SILTMAN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-732-2212",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "3 3641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "05423505",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.