Akron Princeville Ambulance Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

000002611 Issued in IL

Legal business name

AKRON PRINCEVILLE AMBULANCE INC

Practice address

319 E Main Street
Princeville, IL 61559-0021

Phone

(309) 682-5280

Fax

(309) 682-5327

NPI assigned

Dec 27, 2007

Last updated

Mar 29, 2012By 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

Alfred Gardner

Title

Board President

Phone

(309) 682-5280

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1407030448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21",
            "address_2": "319 E MAIN STREET",
            "city": "PRINCEVILLE",
            "state": "IL",
            "postal_code": "615590021",
            "telephone_number": "309-682-5280",
            "fax_number": "309-682-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E MAIN STREET",
            "city": "PRINCEVILLE",
            "state": "IL",
            "postal_code": "615590021",
            "telephone_number": "309-682-5280",
            "fax_number": "309-682-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKRON PRINCEVILLE AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "309-682-5280"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "000002611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "590004694",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07232089",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma K Cole, CCC-SLP
• Community Health Partnership of Illinois (Princeville Medical Center)
• Community Health Partnership of Illinois (Community Health Partnership of Il)
• Compass Counseling Center, LLC (The Compass, LLC)
• Kevin Frye, PHARM D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.