NPIMap

Organization Active NPI

Pope County Volunteer Ambulance Service

  • Land Ambulance
  • Golconda, IL
National Provider Identifier
1740296219
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
501701 Issued in IL
Legal business name
POPE COUNTY VOLUNTEER AMBULANCE SERVICE
Practice address
407 E Main St
Golconda, IL 62938
Phone
(618) 683-2707
Fax
(618) 683-2707
NPI assigned
Aug 1, 2006
Last updated
Jul 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Ms. Sabrina D Banks, EMT PARAMEDIC
Title
Director
Phone
(618) 683-2707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 501701 IL Primary

Addresses

Primary practice location

407 E Main St
Golconda, IL 62938

Mailing address

407 E Main St
Golconda, IL 62938
Phone (618) 683-2707

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1740296219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E MAIN ST",
            "city": "GOLCONDA",
            "state": "IL",
            "postal_code": "62938",
            "telephone_number": "618-683-2707",
            "fax_number": "618-683-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E MAIN ST",
            "city": "GOLCONDA",
            "state": "IL",
            "postal_code": "62938",
            "telephone_number": "618-683-2707",
            "fax_number": "618-683-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPE COUNTY VOLUNTEER AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "618-683-2707",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "EMT PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "501701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golconda, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.