Edgar County Special Service Area Ambulance, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

66706 Issued in IL

Legal business name

EDGAR COUNTY SPECIAL SERVICE AREA AMBULANCE, INC.

Practice address

1703 S Main St
Paris, IL 61944-2944

Phone

(217) 463-5200

Fax

(217) 463-5112

NPI assigned

Aug 18, 2006

Last updated

Aug 22, 2020By 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

Alta Cary

Title

Secretary

Phone

(217) 463-5200

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Jean Shaughnessy, NP

  • Nurse Practitioner
  • Terre Haute, IN
  • NPI 1538044847
  NPD

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386758126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 937",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619440937",
            "telephone_number": "217-463-5200",
            "fax_number": "217-463-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 S MAIN ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442944",
            "telephone_number": "217-463-5200",
            "fax_number": "217-463-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR COUNTY SPECIAL SERVICE AREA AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARY",
        "authorized_official_first_name": "ALTA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "217-463-5200"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "66706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2327921",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00079793",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judah Steven Donaldson, FNP-C
• Dsi Partners LLC (Lynncrest Manor of Paris)
• Danielle Fayann Duncan, MAT, ATC
• East Central Illinois Mass Transit
• Madison Easton, MS, RDN, LDN
• Jane Edwards, PT
• William Elliott, LCP
• Jasmine Eveland
• Zachary Tyler Ferguson, DMD
• Darius Fisher, PHARM D

• Ambulance in Paris, IL
• Providers in Paris, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.