Henderson County Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

022510 Issued in IL

Legal business name

HENDERSON COUNTY AMBULANCE SERVICE INC

Doing business as

South Henderson County Ambulance Service

Practice address

213 E Main St
Stronghurst, IL 61480-5255

Phone

(309) 924-1009

NPI assigned

Mar 2, 2009

Last updated

Feb 14, 2014By 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

Bobbi E Tapscott

Title

Treasurer

Phone

(309) 924-1009

Specialties & licenses 1

Addresses

Other names 1

• South Henderson County Ambulance Service Doing business as

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": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1265672430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "city": "STRONGHURST",
            "state": "IL",
            "postal_code": "614800298",
            "telephone_number": "309-924-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E MAIN ST",
            "city": "STRONGHURST",
            "state": "IL",
            "postal_code": "614805255",
            "telephone_number": "309-924-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON COUNTY AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "TAPSCOTT",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "309-924-1009"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "022510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Henderson County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert L Anderson, DMD
• Jeanne Kay Barr, RDH PHDH
• Amanda Baucom
• Brent Family Pharmacy Inc (Brent Family Healthmart Pharmacy)
• Henderson County Retirement Center, Inc (Oak Wood Estates Retirement Village)
• Henderson County Retirement Center, Inc.
• Henderson County Rural Health Center Inc (Eagle View Community Health System)
• Kjersten Heron, DDS
• Justine Link, ARNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.