Active NPI
City of Taylorville
- Ambulance
- Taylorville, IL
National Provider Identifier
1285908608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 033126
- Legal business name
- CITY OF TAYLORVILLE
- Practice address
- 202 N Main St
Taylorville, IL 62568-1947 - Phone
- (217) 824-2295
- Fax
- (217) 824-3851
- NPI assigned
- Mar 2, 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
- Michael Crews
- Title
- Fire Chief
- Phone
- (217) 824-2295
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 033126 | IL | Primary |
Addresses
Primary practice location
202 N Main St
Taylorville, IL 62568-1947
Mailing address
202 N Main St
Taylorville, IL 62568-1947
Phone (217) 824-2295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140317000026 | IL | Part B Supplier - Ambulance Service Supplier | 6709017742 | Practice locations: Taylorville, IL |
National Provider Directory
National Provider DirectoryLocations
202 N Main St
Taylorville, IL 62568
Phone (217) 824-2295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389744000000",
"number": "1285908608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 N MAIN ST",
"city": "TAYLORVILLE",
"state": "IL",
"postal_code": "625681947",
"telephone_number": "217-824-2295",
"fax_number": "217-824-3851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 N MAIN ST",
"city": "TAYLORVILLE",
"state": "IL",
"postal_code": "625681947",
"telephone_number": "217-824-2295",
"fax_number": "217-824-3851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF TAYLORVILLE",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-02",
"last_updated": "2014-01-15",
"status": "A",
"authorized_official_last_name": "CREWS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "217-824-2295"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IL",
"license": "033126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylorville, IL
- Christian County Mental Health Association (Ccmha)
- Christian County Mental Health Association
- Christian County Mental Health Association
- Christian County Mental Health Association
- Christian County Young Men's Christian Association Inc
- Sofia Andrea Collado
- Janelle Joyce Cornell, R.D, L.D.N.
- Pete L Corso, LCPC
- Roman Michael Corso, D.C.
- County of Christian
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.