NPIMap

Organization Active NPI

Biggsville Ambulance Service

  • Land Ambulance
  • Biggsville, IL
National Provider Identifier
1578729265
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS09382 Issued in IL
Legal business name
BIGGSVILLE AMBULANCE SERVICE
Practice address
400 Water St
Biggsville, IL 61418-0084
Phone
(309) 627-2977
NPI assigned
Aug 1, 2008
Last updated
Nov 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Richard Johnson
Title
Director
Phone
(309) 627-2977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS09382 IL Primary

Addresses

Primary practice location

400 Water St
Biggsville, IL 61418-0084

Mailing address

PO Box 91
400 Water St
Biggsville, IL 61418-0091
Phone (309) 627-2977

Other identifiers 1

IdentifierTypeStateIssuer
EMS09382OtherILILLIONIS STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240530002054 IL Part B Supplier - Ambulance Service Supplier 8820153893 Practice locations: Biggsville, IL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1578729265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91",
            "address_2": "400 WATER ST",
            "city": "BIGGSVILLE",
            "state": "IL",
            "postal_code": "614180091",
            "telephone_number": "309-627-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WATER ST",
            "city": "BIGGSVILLE",
            "state": "IL",
            "postal_code": "614180084",
            "telephone_number": "309-627-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIGGSVILLE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "309-627-2977"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "EMS09382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLIONIS STATE LICENSE",
            "identifier": "EMS09382",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biggsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.