County of Washington

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

054856 Issued in IL

Legal business name

COUNTY OF WASHINGTON

Doing business as

Washington County Ambulance Service

Practice address

160 N West Court St
Nashville, IL 62263-1128

Phone

(618) 327-3075

Fax

(618) 327-7281

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

John Felchlia

Title

EMS Chief/Administrator

Phone

(618) 327-4800

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Washington County Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Washington

  • State or Local Public Health Clinic/Center
  • Nashville, IL
  • NPI 1528130150

  3971777632

  Same PAC ID

Tax ID family

County of Washington2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• County of Washington

  • State or Local Public Health Clinic/Center
  • Nashville, IL
  • NPI 1528130150
  NPD tax ID

Locations

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1780734293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N WEST COURT ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631128",
            "telephone_number": "618-327-3075",
            "fax_number": "618-327-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N WEST COURT ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631128",
            "telephone_number": "618-327-3075",
            "fax_number": "618-327-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "FELCHLIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EMS CHIEF/ADMINISTRATOR",
        "authorized_official_telephone_number": "618-327-4800"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "054856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "9590001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "590155523",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ca Group, LLC
• Crystal G Cathcart
• Jay Douglas Cochran
• Raeanna Beth Conant, PTA
• County of Washington
• Todd Cox
• Crossroads Physician Corporation
• Developmental Management, Inc.
• Kristine Lynn Dobler
• Charles Anthony Doehring, RPH

• Land Ambulance in Nashville, IL
• Providers in Nashville, IL by specialty
• Land Ambulance in Illinois

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