NPIMap

Organization Active NPI

City of Hurst Ambulance Department

  • Ambulance
  • Hurst, IL
National Provider Identifier
1114025541
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF HURST AMBULANCE DEPARTMENT
Practice address
121 King St.
Hurst, IL 62949
Phone
(618) 987-2625
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Ms. Beverly Calvert
Title
Ambulance Dept. Director
Phone
(618) 987-2008

Specialties & licenses 2

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

Addresses

Primary practice location

121 King St.
Hurst, IL 62949

Mailing address

PO Box 146
Hurst, IL 62949
Phone (618) 987-2625

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090429000402 IL Part B Supplier - Ambulance Service Supplier 1254489354 Practice locations: Hurst, IL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1114025541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "HURST",
            "state": "IL",
            "postal_code": "62949",
            "telephone_number": "618-987-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 KING ST.",
            "city": "HURST",
            "state": "IL",
            "postal_code": "62949",
            "telephone_number": "618-987-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HURST AMBULANCE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "CALVERT",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "AMBULANCE DEPT. DIRECTOR",
        "authorized_official_telephone_number": "618-987-2008",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.