NPIMap

Organization Active NPI

Hardin County Ambulance Service

  • Land Ambulance
  • Rosiclare, IL
National Provider Identifier
1508889189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
55124 Issued in IL
Legal business name
HARDIN COUNTY AMBULANCE SERVICE
Practice address
1 Main St
Rosiclare, IL 62982-0160
Phone
(618) 285-3232
Fax
(618) 287-2661
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eddie Dean Conkle
Title
Ambulance Director
Phone
(618) 285-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 55124 IL Primary

Addresses

Primary practice location

1 Main St
Rosiclare, IL 62982-0160

Mailing address

PO Box 160
Rosiclare, IL 62982-0160
Phone (618) 285-3232

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508889189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "ROSICLARE",
            "state": "IL",
            "postal_code": "629820160",
            "telephone_number": "618-285-3232",
            "fax_number": "618-287-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIN ST",
            "city": "ROSICLARE",
            "state": "IL",
            "postal_code": "629820160",
            "telephone_number": "618-285-3232",
            "fax_number": "618-287-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDIN COUNTY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONKLE",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "AMBULANCE DIRECTOR",
        "authorized_official_telephone_number": "618-285-3232"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "55124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosiclare, IL

Sources for this page

  • 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.