Active NPI
Logan County Paramedic Association, Inc
- Ambulance
- Lincoln, IL
National Provider Identifier
1073506283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3 3641
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05423505 | Other | IL | BLUE CROSS PROVIDER NUMBE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040325000948 | IL | Part B Supplier - Ambulance Service Supplier | 9638061708 | Practice locations: Lincoln, IL |
National Provider Directory
National Provider DirectoryLocations
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
- Lincoln Comm HS Dist 404
- Lincoln Elementary School District #27
- Lincoln Health Care Specialists Lab
- Lincoln Pastoral Counseling Services, Inc.
- Lincoln Village Healthcare Center LLC
- Cynthia Ann Lohr, COTA/L
- Kevin S Londe, DO
- Lynn M Dennis Dennis Foot and Ankle Center
- William Lytollis, PHD, MD
- Roberta Mangano, MS. MSW. LPC
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.