Rural Pope County EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

RURAL POPE COUNTY EMS

Practice address

19 Eddyville Blacktop Rd
Golconda, IL 62938

Phone

(618) 683-2919

Fax

(618) 683-2922

NPI assigned

Dec 6, 2021

Last updated

Oct 27, 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

Mrs. Anne Renee Light, EMT

Title

Director/Emt

Phone

(618) 683-2919

Specialties & licenses 2

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": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1225796303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 EDDYVILLE BLACKTOP RD",
            "city": "GOLCONDA",
            "state": "IL",
            "postal_code": "62938",
            "telephone_number": "618-683-2919",
            "fax_number": "618-683-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 EDDYVILLE BLACKTOP RD",
            "city": "GOLCONDA",
            "state": "IL",
            "postal_code": "62938",
            "telephone_number": "618-683-2919",
            "fax_number": "618-683-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL POPE COUNTY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR/EMT",
        "authorized_official_telephone_number": "618-683-2919",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyner Therapy Services
• Pope County Care Home Inc
• Pope County Care Home Inc (Pope County Care Center Inc)
• Pope County Cusd #1
• Pope County Volunteer Ambulance Service
• Susan G Simmons, RN, QMRP, QMHP
• Sarah Elizabeth Wright, PSYD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.