Organization Active NPI

Metro Medical Services Inc

  • Ambulance
  • Loves Park, IL
National Provider Identifier
1720045859
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
11041 Issued in IL
Legal business name
METRO MEDICAL SERVICES INC
Practice address
5112 Forest Hills CT
Loves Park, IL 61111
Phone
(815) 877-7277
Fax
(815) 877-7281
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Authorized official

Name
Stuart D Brown, CEO
Title
Owner Ceo
Phone
(815) 877-7277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 11041 IL Primary

Addresses

Primary practice location

5112 Forest Hills CT
Loves Park, IL 61111

Mailing address

5112 Forest Hills CT
Loves Park, IL 61111
Phone (815) 877-7277

Other identifiers 1

IdentifierTypeStateIssuer
791590880OtherGARAILROAD MEDICARE

Other names 1

  • Stuart D Brown Other name

National Provider Directory

National Provider Directory

Locations

5112 Forest Hills Ct
Loves Park, IL 61111
Phone (815) 877-7277

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1720045859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 FOREST HILLS CT",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "61111",
            "telephone_number": "815-877-7277",
            "fax_number": "815-877-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 FOREST HILLS CT",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "61111",
            "telephone_number": "815-877-7277",
            "fax_number": "815-877-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "815-877-7277",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "11041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "791590880",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stuart D Brown",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Loves Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.