Active NPI
Adams County Ambulance & E M S
- Land Ambulance
- Quincy, IL
National Provider Identifier
1730186271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 33455
- Legal business name
- ADAMS COUNTY AMBULANCE & E M S
- Practice address
- 222 N 52ND St
Quincy, IL 62305-9114 - Phone
- (217) 277-2001
- Fax
- (217) 277-2006
- NPI assigned
- Jun 30, 2005
- 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
- John Simon
- Title
- Chief
- Phone
- (217) 277-2005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 33455 | IL | Primary |
Addresses
Primary practice location
222 N 52ND St
Quincy, IL 62305-9114
Mailing address
507 Vermont St
Quincy, IL 62301-2920
Phone (217) 277-2001
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376000379001 | Medicaid | IL | |
| 0000190001 | Other | IL | BLUE CROSS BLUE SHIELD |
| 0941963 | Medicaid | IA | |
| 200072760 A | Medicaid | IN | |
| 800627705 | Medicaid | MO |
Other names 1
- Adams County Ambulance and Emergency Medical Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040821000093 | IL | Part B Supplier - Ambulance Service Supplier | 4688648124 | Practice locations: Quincy, IL; Mendon, IL; Liberty, IL; Camp Point, IL |
National Provider Directory
National Provider DirectoryLocations
120 W Collins St
Mendon, IL 62351
Phone (217) 936-2912
101 N 54th St
Quincy, IL 62305
Phone (217) 277-2001
222 N 52nd St
Ste 221
Quincy, IL 62305
222 N 52nd St
Quincy, IL 62305
Phone (217) 277-2001
2906 Chestnut St
Quincy, IL 62301
Phone (217) 214-4015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719446400000",
"number": "1730186271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 VERMONT ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012920",
"telephone_number": "217-277-2001",
"fax_number": "217-277-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N 52ND ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623059114",
"telephone_number": "217-277-2001",
"fax_number": "217-277-2006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAMS COUNTY AMBULANCE & E M S",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-30",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A",
"authorized_official_last_name": "SIMON",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "217-277-2005"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "33455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376000379001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0000190001",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0941963",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200072760 A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "800627705",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Adams County Ambulance and Emergency Medical Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.