Organization Active NPI

Adams County Ambulance & E M S

  • Land Ambulance
  • Quincy, IL
National Provider Identifier
1730186271
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
33455 Issued in IL
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

Updated by the provider on Jun 27, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
376000379001MedicaidIL
0000190001OtherILBLUE CROSS BLUE SHIELD
0941963MedicaidIA
200072760 AMedicaidIN
800627705MedicaidMO

Other names 1

  • Adams County Ambulance and Emergency Medical Services Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.