Litton Ambulance Service, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

5133 Issued in IL

Legal business name

LITTON AMBULANCE SERVICE, INC

Practice address

808 S 17TH St
Mount Vernon, IL 62864-4667

Phone

(618) 244-1617

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Angie K Litton

Title

Administrator

Phone

(618) 244-1617

Specialties & licenses 1

Addresses

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487707758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 S 17TH ST",
            "address_2": "P.O. BOX 18",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628644667",
            "telephone_number": "618-244-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S 17TH ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628644667",
            "telephone_number": "618-244-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTON AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LITTON",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-244-1617"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "5133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Mount Vernon, IL
• Providers in Mount Vernon, 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.
• 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.