NPIMap

Organization Active NPI

Gladstone Ambulance Service

  • Land Ambulance
  • Gladstone, IL
National Provider Identifier
1346451242
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1770780 Issued in IL
Legal business name
GLADSTONE AMBULANCE SERVICE
Practice address
106 E Walnut St
Gladstone, IL 61437-0219
Phone
(309) 627-2123
NPI assigned
May 24, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Elaine Kendall
Title
Billing Officer
Phone
(309) 627-2944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1770780 IL Primary

Addresses

Primary practice location

106 E Walnut St
Gladstone, IL 61437-0219

Mailing address

PO Box 219
Gladstone, IL 61437-0219
Phone (309) 627-2123

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1346451242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "GLADSTONE",
            "state": "IL",
            "postal_code": "614370219",
            "telephone_number": "309-627-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E WALNUT ST",
            "city": "GLADSTONE",
            "state": "IL",
            "postal_code": "614370219",
            "telephone_number": "309-627-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADSTONE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "BILLING OFFICER",
        "authorized_official_telephone_number": "309-627-2944",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "1770780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.