NPIMap

Organization Active NPI

Bunker Hill Area Ambulance Service Inc.

  • Ambulance
  • Bunker Hill, IL
National Provider Identifier
1427311604
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
BUNKER HILL AREA AMBULANCE SERVICE INC.
Practice address
123 South Washington St.
Bunker Hill, IL 62014
Phone
(618) 585-3945
NPI assigned
Jun 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Mr. Tod Andrew May
Title
Treasurer
Phone
(618) 585-3945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

123 South Washington St.
Bunker Hill, IL 62014

Mailing address

123 South Washington St.
Post Office Box 309
Bunker Hill, IL 62014
Phone (618) 585-3945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130710000127 IL Part B Supplier - Ambulance Service Supplier 9931349206 Practice locations: Bunker Hill, IL

National Provider Directory

National Provider Directory
Tax ID family
Bunker Hill Area Ambulance Service Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1427311604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SOUTH WASHINGTON ST.",
            "address_2": "POST OFFICE BOX 309",
            "city": "BUNKER HILL",
            "state": "IL",
            "postal_code": "62014",
            "telephone_number": "618-585-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SOUTH WASHINGTON ST.",
            "city": "BUNKER HILL",
            "state": "IL",
            "postal_code": "62014",
            "telephone_number": "618-585-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNKER HILL AREA AMBULANCE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "TOD",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "618-585-3945",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bunker Hill, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.