Organization Active NPI

Saline County Ambulance Service, Inc.

  • Land Ambulance
  • Harrisburg, IL
National Provider Identifier
1366539918
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SALINE COUNTY AMBULANCE SERVICE, INC.
Practice address
205 S Shaw St
Harrisburg, IL 62946-1864
Phone
(618) 997-4915
Fax
(618) 993-3386
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Ricky L Colyer
Title
President
Phone
(618) 922-8670

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

205 S Shaw St
Harrisburg, IL 62946-1864

Mailing address

808 E Deyoung St
Marion, IL 62959-3333
Phone (618) 997-4915

Other identifiers 5

IdentifierTypeStateIssuer
590004483OtherRAILROAD MEDICARE
141141OtherHEALTHLINK, INC
007630OtherHEALTH ALLIANCE
8370902OtherBLUE CROSS BLUE SHIELD
8181367OtherUNITED HEALTHCARE

National Provider Directory

National Provider Directory

Locations

808 E Deyoung St
Marion, IL 62959
Phone (618) 997-4915

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1366539918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 E DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629593333",
            "telephone_number": "618-997-4915",
            "fax_number": "618-993-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S SHAW ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629461864",
            "telephone_number": "618-997-4915",
            "fax_number": "618-993-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINE COUNTY AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "COLYER",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-922-8670"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590004483",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK, INC",
            "identifier": "141141",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "007630",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8370902",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "8181367",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.