Active NPI
Schuyler County
Doing business as Schuyler County Ambulance Service
- Land Ambulance
- Rushville, IL
National Provider Identifier
1881691665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3097
- Legal business name
- SCHUYLER COUNTY
- Doing business as
- Schuyler County Ambulance Service
- Practice address
- 234 S Monroe St
Rushville, IL 62681-1344 - Phone
- (217) 322-6680
- Fax
- (217) 322-6400
- NPI assigned
- Jul 7, 2005
- Last updated
- Feb 21, 2020
- Organization subpart
- Yes
- Parent organization
- COUNTY OF SCHUYLER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Joseph Hardy
- Title
- EMS Coordinator
- Phone
- (217) 322-6680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3097 | IL | Primary |
Addresses
Primary practice location
234 S Monroe St
Rushville, IL 62681-1344
Mailing address
234 S Monroe St
Rushville, IL 62681-1344
Phone (217) 322-6680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59000016 | Other | IL | RAILROAD MEDICARE |
Other names 1
- Schuyler County Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120307000751 | IL | Part B Supplier - Ambulance Service Supplier | 0547429755 | Practice locations: Rushville, IL |
National Provider Directory
National Provider Directory- Part of
- Schuyler County
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
234 S Monroe St
Rushville, IL 62681
Phone (217) 322-4321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582243200000",
"number": "1881691665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 S MONROE ST",
"city": "RUSHVILLE",
"state": "IL",
"postal_code": "626811344",
"telephone_number": "217-322-6680",
"fax_number": "217-322-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 S MONROE ST",
"city": "RUSHVILLE",
"state": "IL",
"postal_code": "626811344",
"telephone_number": "217-322-6680",
"fax_number": "217-322-6400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHUYLER COUNTY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF SCHUYLER",
"enumeration_date": "2005-07-07",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A",
"authorized_official_last_name": "HARDY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "EMS COORDINATOR",
"authorized_official_telephone_number": "217-322-6680",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "3097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "59000016",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Schuyler County Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rushville, IL
- Atif Raja, M.D.
- Roberts Pharmacy
- Maria Teresa Rosas, DDS
- Julie Ross, PT
- Rushville Nursing and Rehabilitation Center LLC
- Schuyler County Hospital District
- Schuyler County Hospital District (Rushville Family Practice)
- Schuyler County Hospital District
- Schuyler County Hospital District (Rushville Family Practice)
- Schuyler County Hospital District (Sarah D Culbertston Memorial Hospita)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.