Advanced Medical Transport of Springfield Inc
Organization Active NPI Ambulance · Springfield, IL
NPI 1538726484 · NPPES record last updated Nov 22, 2024
Key facts
- NPI
- 1538726484
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC
- Practice address
- 200 N Grand Ave W
Springfield, IL 62702-2551 - Phone
- (309) 494-6203
- NPI assigned
- May 28, 2019
- Organization subpart
- No
Authorized official
- Name
- Mr. Andrew A Rand
- Title
- Ceo
- Phone
- (309) 494-6215
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191112003326 | IL | Part B Supplier - Ambulance Service Supplier | 5294167268 | Practice locations: Springfield, IL |
National Provider Directory
Locations
3520 Old Jacksonville Rd
Springfield, IL 62711
Phone (217) 204-1644
1718 N Sterling Ave
West Peoria, IL 61604
Phone (309) 494-6200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes |
Addresses
Primary practice location
200 N Grand Ave W
Springfield, IL 62702-2551
Mailing address
1718 N Sterling Ave
West Peoria, IL 61604-3831
Phone (309) 494-6215
Other names
- Medics First
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.