Active NPI
Eastern McLean County Ambulance Assoc
Doing business as Emcaa
- Land Ambulance
- Colfax, IL
National Provider Identifier
1922166727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 26514
- Legal business name
- EASTERN MCLEAN COUNTY AMBULANCE ASSOC
- Doing business as
- Emcaa
- Practice address
- 124 E Main St
Colfax, IL 61728-0183 - Phone
- (309) 723-3261
- Fax
- (309) 723-3711
- NPI assigned
- Dec 5, 2006
- Last updated
- Jan 18, 2019
- 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
- Nancy Kiper
- Title
- Board Secretary / Treasurer
- Phone
- (309) 723-3261
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 26514 | IL | Primary |
Addresses
Primary practice location
124 E Main St
Colfax, IL 61728-0183
Mailing address
124 E Main St
PO Box 183
Colfax, IL 61728-0183
Phone (309) 723-3261
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371017409001 | Medicaid | IL | |
| 791590228 | Other | IL | RR MEDICARE |
| 5770614 | Other | IL | BLUE CROSS BLUE SHIELD |
Other names 1
- EMCAA
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547769600000",
"number": "1922166727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 E MAIN ST",
"address_2": "PO BOX 183",
"city": "COLFAX",
"state": "IL",
"postal_code": "617280183",
"telephone_number": "309-723-3261",
"fax_number": "309-723-3711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E MAIN ST",
"city": "COLFAX",
"state": "IL",
"postal_code": "617280183",
"telephone_number": "309-723-3261",
"fax_number": "309-723-3711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN MCLEAN COUNTY AMBULANCE ASSOC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2019-01-18",
"status": "A",
"authorized_official_last_name": "KIPER",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "BOARD SECRETARY / TREASURER",
"authorized_official_telephone_number": "309-723-3261"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "26514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371017409001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "791590228",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5770614",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EMCAA",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "EMCAA",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Colfax, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.