Active NPI
Massac EMS
- Land Ambulance
- Metropolis, IL
National Provider Identifier
1104283035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0551380
- Legal business name
- MASSAC EMS
- Practice address
- 28 Chick St
Metropolis, IL 62960-2467 - Phone
- (618) 524-2176
- Fax
- (618) 524-8224
- NPI assigned
- Jan 22, 2016
- Organization subpart
- Yes
- Parent organization
- MASSAC COUNTY HOSPITAL DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Randall L Rushing
- Title
- Chief Financial Officer
- Phone
- (618) 524-2176
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0551380 | IL | Primary |
Addresses
Primary practice location
28 Chick St
Metropolis, IL 62960-2467
Mailing address
28 Chick St
Metropolis, IL 62960-2467
Phone (618) 524-2176
National Provider Directory
National Provider Directory- Part of
- Massac Memorial Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453420800000",
"number": "1104283035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CHICK ST",
"city": "METROPOLIS",
"state": "IL",
"postal_code": "629602467",
"telephone_number": "618-524-2176",
"fax_number": "618-524-8224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 CHICK ST",
"city": "METROPOLIS",
"state": "IL",
"postal_code": "629602467",
"telephone_number": "618-524-2176",
"fax_number": "618-524-8224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASSAC EMS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MASSAC COUNTY HOSPITAL DISTRICT",
"enumeration_date": "2016-01-22",
"last_updated": "2016-01-22",
"status": "A",
"authorized_official_last_name": "RUSHING",
"authorized_official_first_name": "RANDALL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "618-524-2176",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "0551380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metropolis, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.