Gallatin County EMS LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GALLATIN COUNTY EMS LLC

Practice address

391 E. Posey Ave.
Shawneetown, IL 62984

Phone

(618) 844-3058

Fax

(580) 628-2267

NPI assigned

Nov 26, 2024

Last updated

Jan 30, 2025By 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

Mr. Michael Burford

Title

EMS Director

Phone

(618) 841-3058

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1144046954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "SHAWNEETOWN",
            "state": "IL",
            "postal_code": "629840122",
            "telephone_number": "618-841-3058",
            "fax_number": "580-628-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 E. POSEY AVE.",
            "city": "SHAWNEETOWN",
            "state": "IL",
            "postal_code": "62984",
            "telephone_number": "618-844-3058",
            "fax_number": "580-628-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLATIN COUNTY EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "BURFORD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "618-841-3058",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Greater Area Rural Health Planning Corporation
• Egyptian Health Department
• Egyptian Health Department
• Gallatin Rural Health Clinic
• Wendy Marie Griffith, LPN
• Sally McClenahan, LPN
• Samatha Halie Moore, OTA
• Jennifer Dawn Murphy

• Land Ambulance in Shawneetown, IL
• Providers in Shawneetown, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.