Code Blue EMS LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CODE BLUE EMS LLC

Practice address

207 W Walnut St
Teutopolis, IL 62467-1023

Phone

(217) 663-3783

NPI assigned

Jun 6, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Steven Wayne Gray Jr., EMT-P

Title

Ceo

Phone

(217) 663-3783

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1801580543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W WALNUT ST",
            "city": "TEUTOPOLIS",
            "state": "IL",
            "postal_code": "624671023",
            "telephone_number": "217-663-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W WALNUT ST",
            "city": "TEUTOPOLIS",
            "state": "IL",
            "postal_code": "624671023",
            "telephone_number": "217-663-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODE BLUE EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-663-3783",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Anthony Bloemer, MD
• Community Support Systems
• Sarah Couch
• Patricai Ann Crawford
• Aleah R Cunningham
• Brittany Ann Denton, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.