Organization Active NPI

City of Hurst Ambulance Department

  • Ambulance
  • Hurst, IL
National Provider Identifier
1528239654
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF HURST AMBULANCE DEPARTMENT
Practice address
115 King Street
Hurst, IL 62949
Phone
(618) 987-2625
Fax
(618) 987-2924
NPI assigned
Mar 17, 2008
Last updated
Mar 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Mr. James Rich
Title
Mayor
Phone
(618) 987-2114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X IL Primary

Addresses

Primary practice location

115 King Street
Hurst, IL 62949

Mailing address

115 King Street
PO Box146
Hurst, IL 62949
Phone (618) 987-2625

Other identifiers 1

IdentifierTypeStateIssuer
376002362001MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1528239654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 KING STREET",
            "address_2": "PO BOX146",
            "city": "HURST",
            "state": "IL",
            "postal_code": "62949",
            "telephone_number": "618-987-2625",
            "fax_number": "618-987-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KING STREET",
            "city": "HURST",
            "state": "IL",
            "postal_code": "62949",
            "telephone_number": "618-987-2625",
            "fax_number": "618-987-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HURST AMBULANCE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MAYOR",
        "authorized_official_telephone_number": "618-987-2114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376002362001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.