NPIMap

Organization Active NPI

Peoria County Rural Transportation

  • Secured Medical Transport (VAN)
  • Peoria, IL
National Provider Identifier
1083970537
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
PEORIA COUNTY RURAL TRANSPORTATION
Practice address
324 Main St Ste 501
Peoria, IL 61602-2331
Phone
(309) 495-4612
Fax
(309) 495-4608
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Mr. John W. Hamann
Title
Rural Economic Development Coord.
Phone
(309) 495-4968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X Primary

Addresses

Primary practice location

324 Main St Ste 501
Peoria, IL 61602-2331

Mailing address

324 Main St Ste 501
Peoria, IL 61602-2331
Phone (309) 495-4612

National Provider Directory

National Provider Directory
Tax ID family
Peoria City Health Dept4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

324 Main St
Ste 501
Peoria, IL 61602
Phone (309) 495-4612

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1083970537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 MAIN ST STE 501",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616022331",
            "telephone_number": "309-495-4612",
            "fax_number": "309-495-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 MAIN ST STE 501",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616022331",
            "telephone_number": "309-495-4612",
            "fax_number": "309-495-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEORIA COUNTY RURAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "HAMANN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "RURAL ECONOMIC DEVELOPMENT COORD.",
        "authorized_official_telephone_number": "309-495-4968",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.