Active NPI
Lovington Community Ambulance Service Inc
- Land Ambulance
- Lovington, IL
National Provider Identifier
1265613657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- LOVINGTON COMMUNITY AMBULANCE SERVICE INC
- Practice address
- 127 West State Street
Lovington, IL 61937 - Phone
- (309) 687-5600
- Fax
- (309) 687-5640
- NPI assigned
- Nov 14, 2007
- Last updated
- May 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna J Vala
- Title
- Billing Agent
- Phone
- (309) 691-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
127 West State Street
Lovington, IL 61937
Mailing address
2938 W Parkwood Dr
Peoria, IL 61614-2476
Phone (309) 691-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120424000179 | IL | Part B Supplier - Ambulance Service Supplier | 9133381940 | Practice locations: Lovington, IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335830400000",
"number": "1265613657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2938 W PARKWOOD DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142476",
"telephone_number": "309-691-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 WEST STATE STREET",
"city": "LOVINGTON",
"state": "IL",
"postal_code": "61937",
"telephone_number": "309-687-5600",
"fax_number": "309-687-5640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVINGTON COMMUNITY AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-14",
"last_updated": "2012-05-01",
"status": "A",
"authorized_official_last_name": "VALA",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "BILLING AGENT",
"authorized_official_telephone_number": "309-691-4400"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lovington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.