Fulton County Emergency Medical Association, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

2512 Issued in IL

Legal business name

FULTON COUNTY EMERGENCY MEDICAL ASSOCIATION, INC.

Practice address

635 S Main St
Canton, IL 61520-3035

Phone

(309) 647-5147

Fax

(309) 647-6521

NPI assigned

Jan 24, 2007

Last updated

Oct 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andrew F Thornton

Title

Executive Director

Phone

(309) 647-5147

Specialties & licenses 1

Addresses

Other names 1

• Fulton County Ambulance Service Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1831244144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "address_2": "635 S MAIN ST",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615200250",
            "telephone_number": "309-647-5147",
            "fax_number": "309-647-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 S MAIN ST",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615203035",
            "telephone_number": "309-647-5147",
            "fax_number": "309-647-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON COUNTY EMERGENCY MEDICAL ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "309-647-5147",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "2512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulton County Ambulance Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jacob Fehl, PHARMD
• Edrick Jordan Ferguson, M.D.
• Jessica Fink, MS, RD, LDN
• Johnes Marcera Flores, PT
• Justin Freeman, PHARM. D
• Fulton County Health Department
• Fulton County Rehabilitation Center Inc.
• Kacy Garrard
• Nathan W Gates, MA
• Gayon High Performance Chiropractic & Rehab, Inc

• Ambulance in Canton, IL
• Providers in Canton, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.