NPIMap

Organization Active NPI

Bunker Hill Area Ambulance Service, Inc.

  • Basic Emergency Medical Technician
  • Bunker Hill, IL
National Provider Identifier
1205180569
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
043617 Issued in IL
Legal business name
BUNKER HILL AREA AMBULANCE SERVICE, INC.
Practice address
123 S Washington
Bunker Hill, IL 62014
Phone
(618) 585-2500
NPI assigned
Nov 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Mark E Vaughn
Title
Board President
Phone
(618) 585-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 146N00000X 043617 IL Primary

Addresses

Primary practice location

123 S Washington
Bunker Hill, IL 62014

Mailing address

PO Box 309
Bunker Hill, IL 62014-0309

National Provider Directory

National Provider Directory
Tax ID family
Bunker Hill Area Ambulance Service Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

123 S Washington St
Bunker Hill, IL 62014
Phone (618) 585-2500

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1205180569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "BUNKER HILL",
            "state": "IL",
            "postal_code": "620140309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S WASHINGTON",
            "city": "BUNKER HILL",
            "state": "IL",
            "postal_code": "62014",
            "telephone_number": "618-585-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNKER HILL AREA AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "618-585-2500"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": "IL",
            "license": "043617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bunker Hill, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.