Leamons Ambulance Service, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1363 Issued in IL

Legal business name

LEAMONS AMBULANCE SERVICE, INC

Practice address

210 W Main St
Lena, IL 61048-9770

Phone

(815) 369-4512

Fax

(815) 369-2309

NPI assigned

Dec 27, 2005

Last updated

Apr 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack P Leamon

Title

Owner

Phone

(815) 369-4512

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1679550198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W MAIN ST",
            "city": "LENA",
            "state": "IL",
            "postal_code": "610489770",
            "telephone_number": "815-369-4512",
            "fax_number": "815-369-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W MAIN ST",
            "city": "LENA",
            "state": "IL",
            "postal_code": "610489770",
            "telephone_number": "815-369-4512",
            "fax_number": "815-369-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAMONS AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "LEAMON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-369-4512"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "1363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Lena, IL
• Providers in Lena, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.