Active NPI
Toledo Area Emergency Ambulance Service Inc
Doing business as Toledo Area Ambulance Service
- Land Ambulance
- Toledo, IL
National Provider Identifier
1609901883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 66695
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590007102 | Other | IL | PALMETTO GBA |
| 01633002 | Other | IL | BLUE CROSS BLUE SHIELD |
Other names 1
- Toledo Area Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081205000767 | IL | Part B Supplier - Ambulance Service Supplier | 4385705599 | Practice locations: Toledo, IL |
National Provider Directory
National Provider DirectoryLocations
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.