Active NPI
Area Ambulance Service, Inc.
- Land Ambulance
- Plainview, IL
National Provider Identifier
1902952161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1769982
- Legal business name
- AREA AMBULANCE SERVICE, INC.
- Practice address
- 8834 Plainview Blacktop
Plainview, IL 62685-6577 - Phone
- (618) 836-5992
- Fax
- (618) 836-7709
- NPI assigned
- Jan 28, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elaine Marie Grothaus
- Title
- Secretary Treasurer
- Phone
- (618) 836-5992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1769982 | IL | Primary |
Addresses
Primary practice location
8834 Plainview Blacktop
Plainview, IL 62685-6577
Mailing address
8834 Plainview Blacktop
Plainview, IL 62685-6577
Phone (618) 836-5992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070507000009 | IL | Part B Supplier - Ambulance Service Supplier | 1850497991 | Practice locations: Medora, IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902952161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8834 PLAINVIEW BLACKTOP",
"city": "PLAINVIEW",
"state": "IL",
"postal_code": "626856577",
"telephone_number": "618-836-5992",
"fax_number": "618-836-7709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8834 PLAINVIEW BLACKTOP",
"city": "PLAINVIEW",
"state": "IL",
"postal_code": "626856577",
"telephone_number": "618-836-5992",
"fax_number": "618-836-7709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AREA AMBULANCE SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GROTHAUS",
"authorized_official_first_name": "ELAINE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "SECRETARY TREASURER",
"authorized_official_telephone_number": "618-836-5992"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "1769982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainview, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.