South East Livingston County Ambulance Service, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

26721 Issued in IL

Legal business name

SOUTH EAST LIVINGSTON COUNTY AMBULANCE SERVICE, INC

Doing business as

SELCAS Ambulance

Practice address

310 W Locust St
Fairbury, IL 61739-1068

Phone

(815) 692-3452

Fax

(815) 692-2414

NPI assigned

Jul 27, 2005

Last updated

Feb 11, 2026By 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

Jeremy Stoller

Title

Procurement Officer

Phone

(815) 692-3658

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SELCAS Ambulance 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": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1407856974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W LOCUST ST",
            "city": "FAIRBURY",
            "state": "IL",
            "postal_code": "617391068",
            "telephone_number": "815-692-3452",
            "fax_number": "815-692-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W LOCUST ST",
            "city": "FAIRBURY",
            "state": "IL",
            "postal_code": "617391068",
            "telephone_number": "815-692-3452",
            "fax_number": "815-692-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EAST LIVINGSTON COUNTY AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "STOLLER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PROCUREMENT OFFICER",
        "authorized_official_telephone_number": "815-692-3658"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "26721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL PROVIDER #",
            "identifier": "5390005",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590011250",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SELCAS Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prairie Central Cusd No 8
• Saint James Hospital (OSF Healthcare - Medical Group - Fairbury)
• Antonio Salinas Jr., D.C.
• Cesar M Secoquian, MD
• Ryleigh Sue Shoemaker
• Katelyn J Stites, APN, NP-C
• Tracy Neal Taylor, DMD
• Tracy N Taylor DMD., PC
• Turning Point Therapies Inc
• Kylie Vogel

• Land Ambulance in Fairbury, IL
• Providers in Fairbury, 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 11, 2026; 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.