Brown County

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3454 Issued in IL

Legal business name

BROWN COUNTY

Doing business as

Brown County Ambulance Service

Practice address

835 Route 24 West
Mt Sterling, IL 62353-9408

Phone

(217) 773-2113

Fax

(217) 773-2090

NPI assigned

Jul 4, 2006

Last updated

Feb 10, 2010By 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

Mr. Brian James Gallaher I, EMT-P

Title

Ambulance Director

Phone

(217) 773-2113

Specialties & licenses 1

Addresses

Other names 1

• Brown County Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1376573345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 ROUTE 24 WEST",
            "city": "MT STERLING",
            "state": "IL",
            "postal_code": "623539408",
            "telephone_number": "217-773-2113",
            "fax_number": "217-773-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 ROUTE 24 WEST",
            "city": "MT STERLING",
            "state": "IL",
            "postal_code": "623539408",
            "telephone_number": "217-773-2113",
            "fax_number": "217-773-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "GALLAHER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "AMBULANCE DIRECTOR",
        "authorized_official_telephone_number": "217-773-2113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "3454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brown County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Be Well Therapeutic Center LLC
• Donna Bemis
• Martha E. Blakeley, PT
• Blessing Hospital
• Rochelle L Briney, LCSW
• Brown County Cu SCH Dist 1
• Brown County Public Health Department
• Kylie Elizabeth Carr, COTA/L
• Charlotte A. Clark
• Shana Clarkson, NP

• Land Ambulance in Mt Sterling, IL
• Providers in Mt Sterling, 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 10, 2010; 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.