Organization Active NPI

Toledo Area Emergency Ambulance Service Inc

Doing business as Toledo Area Ambulance Service

  • Land Ambulance
  • Toledo, IL
National Provider Identifier
1609901883
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
66695 Issued in IL
Legal business name
TOLEDO AREA EMERGENCY AMBULANCE SERVICE INC
Doing business as
Toledo Area Ambulance Service
Practice address
160 Courthouse SQ
Toledo, IL 62468-1052
Phone
(217) 849-2065
Fax
(217) 849-2835
NPI assigned
Feb 21, 2007
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Susan Rae Wilson
Title
EMS Coordinator
Phone
(217) 725-6913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 66695 IL Primary

Addresses

Primary practice location

160 Courthouse SQ
Toledo, IL 62468-1052

Mailing address

PO Box 516
Toledo, IL 62468-0516
Phone (217) 849-2065

Other identifiers 2

IdentifierTypeStateIssuer
590007102OtherILPALMETTO GBA
01633002OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Toledo Area Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081205000767 IL Part B Supplier - Ambulance Service Supplier 4385705599 Practice locations: Toledo, IL

National Provider Directory

National Provider Directory

Locations

160 Courthouse Sq
Toledo, IL 62468
Phone (217) 849-2065

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1609901883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "TOLEDO",
            "state": "IL",
            "postal_code": "624680516",
            "telephone_number": "217-849-2065",
            "fax_number": "336-791-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 COURTHOUSE SQ",
            "city": "TOLEDO",
            "state": "IL",
            "postal_code": "624681052",
            "telephone_number": "217-849-2065",
            "fax_number": "217-849-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLEDO AREA EMERGENCY AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "217-725-6913"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "66695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "590007102",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01633002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toledo Area Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.