Eastern Marshall County EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

22565 Issued in IL

Legal business name

EASTERN MARSHALL COUNTY EMS

Doing business as

Eastern Marshall County EMS

Practice address

210 North Chestnut St
Wenona, IL 61377-0708

Phone

(815) 853-0044

Fax

(815) 853-0044

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda Stipp

Title

Administrative Supervisor

Phone

(815) 853-0044

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Eastern Marshall County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1376684738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "address_2": "210 NORTH CHESTNUT ST",
            "city": "WENONA",
            "state": "IL",
            "postal_code": "613770708",
            "telephone_number": "815-853-0044",
            "fax_number": "815-452-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NORTH CHESTNUT ST",
            "city": "WENONA",
            "state": "IL",
            "postal_code": "613770708",
            "telephone_number": "815-853-0044",
            "fax_number": "815-853-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN MARSHALL COUNTY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "STIPP",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "ADMINISTRATIVE SUPERVISOR",
        "authorized_official_telephone_number": "815-853-0044",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "22565",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "22565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "590015425",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Marshall County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cameron Joseph Bailes
• Bella Y Baz, MD
• Samuel T Baz, MD
• HSHS Medical Group Inc (HSHS Medical Group Family Medicine)
• Angela Martinez, M.D.
• Sharshon Pharmacy Inc (Wenona Pharmacy)
• Jawaria T Suhail, M.D.
• Tyner Pharmacy Inc

• Land Ambulance in Wenona, IL
• Providers in Wenona, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.