Greene County Ambulance

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1707716 Issued in IL

Legal business name

GREENE COUNTY AMBULANCE

Doing business as

Boyd Health Care Services

Practice address

800 School St
Carrollton, IL 62016-1436

Phone

(217) 942-5554

Fax

(217) 942-9349

NPI assigned

Nov 28, 2006

Last updated

Apr 22, 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

Stace Holland

Title

Ceo

Phone

(217) 942-6946

Specialties & licenses 1

Addresses

Other names 1

• Boyd Health Care Services Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• County of Greene

  dba Greene County Health Department

  • Home Health Agency
  • Carrollton, IL
  • NPI 1225038169

  Member Of

  NPD member

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1154497170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SCHOOL ST",
            "city": "CARROLLTON",
            "state": "IL",
            "postal_code": "620161436",
            "telephone_number": "217-942-5554",
            "fax_number": "217-942-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SCHOOL ST",
            "city": "CARROLLTON",
            "state": "IL",
            "postal_code": "620161436",
            "telephone_number": "217-942-5554",
            "fax_number": "217-942-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE COUNTY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "STACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-942-6946"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "1707716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boyd Health Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela M Derrick, DPT
• Georgianna Flowers
• Frye Chiropractic LLC
• Ethan Frye, DC
• Ken Gray, P.T.
• Hamel Chiropractic Clinic LLC
• Justin Kyle Hamel, D.C.
• Lisa A Hart, DC LAC
• Jersey Community Hospital (JCH Medical Group - Carrollton)
• Jose P Parcon M D S C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.