NPIMap

Organization Active NPI

White County Ambulance Service

  • Ambulance
  • Carmi, IL
National Provider Identifier
1891240842
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
EMS216070 Issued in IL
Legal business name
WHITE COUNTY AMBULANCE SERVICE
Practice address
314 E Cherry St
Carmi, IL 62821-1853
Phone
(618) 382-2604
Fax
(618) 384-4084
NPI assigned
Aug 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Teresa K Brock
Title
Emt
Phone
(618) 382-2604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X EMS216070 IL Primary

Addresses

Primary practice location

314 E Cherry St
Carmi, IL 62821-1853

Mailing address

PO Box 339
Carmi, IL 62821-0339
Phone (618) 382-2406

National Provider Directory

National Provider Directory
Tax ID family
White County Ambulance2 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.

Locations

314 E Cherry St
Carmi, IL 62821
Phone (618) 382-2604

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1891240842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628210339",
            "telephone_number": "618-382-2406",
            "fax_number": "618-384-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E CHERRY ST",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211853",
            "telephone_number": "618-382-2604",
            "fax_number": "618-384-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE COUNTY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EMT",
        "authorized_official_telephone_number": "618-382-2604"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "EMS216070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmi, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.