NPIMap

Organization Active NPI

Bunker Hill Area Ambulance SVC.

  • Ambulance
  • Bunker Hill, IL
National Provider Identifier
1871796391
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
33617 Issued in IL
Legal business name
BUNKER HILL AREA AMBULANCE SVC.
Practice address
123 South Washington
Bunker Hill, IL 62014-0309
Phone
(618) 585-3329
Fax
(618) 585-1297
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Matthew Dyane Jolly, EMT-B
Title
Director
Phone
(618) 585-3329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 33617 IL Primary

Addresses

Primary practice location

123 South Washington
Bunker Hill, IL 62014-0309

Mailing address

PO Box 309
Bunker Hill, IL 62014-0309

National Provider Directory

National Provider Directory
Tax ID family
Bunker Hill Area Ambulance Service Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871796391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "BUNKER HILL",
            "state": "IL",
            "postal_code": "620140309",
            "fax_number": "618-585-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SOUTH WASHINGTON",
            "city": "BUNKER HILL",
            "state": "IL",
            "postal_code": "620140309",
            "telephone_number": "618-585-3329",
            "fax_number": "618-585-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNKER HILL AREA AMBULANCE SVC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DYANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "618-585-3329",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-B"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "33617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bunker Hill, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.