Organization Active NPI

Rossville Community Ambulance Service

Doing business as Rossville Communitty Service

  • Land Ambulance
  • Rossville, IL
National Provider Identifier
1285762393
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ROSSVILLE COMMUNITY AMBULANCE SERVICE
Doing business as
Rossville Communitty Service
Practice address
107 W Attica St
Rossville, IL 60963-1151
Phone
(217) 748-6061
NPI assigned
Mar 1, 2007
Last updated
Dec 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Authorized official

Name
Mrs. Tammy Lynn Duncan
Title
Secretary
Phone
(217) 748-6061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

107 W Attica St
Rossville, IL 60963-1151

Mailing address

PO Box 176
P.O. Box 176
Rossville, IL 60963-0176
Phone (217) 748-6061

Other identifiers 1

IdentifierTypeStateIssuer
37113465001MedicaidIL

Other names 1

  • Rossville Communitty Service Doing business as

National Provider Directory

National Provider Directory

Locations

107 W Attica St
Rossville, IL 60963
Phone (217) 748-6061

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1285762393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "address_2": "P.O. BOX 176",
            "city": "ROSSVILLE",
            "state": "IL",
            "postal_code": "609630176",
            "telephone_number": "217-748-6061",
            "fax_number": "217-748-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W ATTICA ST",
            "city": "ROSSVILLE",
            "state": "IL",
            "postal_code": "609631151",
            "telephone_number": "217-748-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSSVILLE COMMUNITY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "217-748-6061",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37113465001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rossville Communitty Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rossville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.