Nokomis-Witt Area Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

33614 Issued in IL

Legal business name

NOKOMIS-WITT AREA AMBULANCE SERVICE INC

Practice address

10 Brandon Lane
Nokomis, IL 62075

Phone

(217) 563-7673

NPI assigned

Oct 12, 2006

Last updated

Jun 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joletta M Hill, PARAMEDIC

Title

Manager

Phone

(217) 563-7673

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717200000000",
    "number": "1114016888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 N WILKE RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041437",
            "telephone_number": "800-244-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BRANDON LANE",
            "city": "NOKOMIS",
            "state": "IL",
            "postal_code": "62075",
            "telephone_number": "217-563-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOKOMIS-WITT AREA AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JOLETTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "217-563-7673",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "33614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114016888",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy K Massengill
• Nokomis Cusd 22
• Nokomis Healthcare & Senior Living LLC
• Nokomis Medical Group
• Nokomis-Witt Area Ambulance Service
• Pana Community Hospital Association (Community Medical Clinic of Nokomis)
• Pana Community Hospital Association (Community Medical Clinic of Nokomis)
• Pana Community Hospital Association (Community Medical Clinic of Nokomis)
• Pana Community Hosptial Association (Nokomis Medical Group)
• Petersen Health Care - Nokomis, LLC (Nokomis Rehabilitation & Health Care Center)

• Ambulance in Nokomis, IL
• Providers in Nokomis, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; 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.