Organization Active NPI

Galena Area Emergency Medical Service District

  • Ambulance
  • Galena, IL
National Provider Identifier
1962476119
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1032 Issued in IL
Legal business name
GALENA AREA EMERGENCY MEDICAL SERVICE DISTRICT
Practice address
217 Summit St
Galena, IL 61036
Phone
(815) 777-3575
Fax
(815) 777-8329
NPI assigned
Feb 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
Michelle C Frangella FinleyNPI 1770061871
Title
Coordinator
Phone
(815) 777-3575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1032 IL Primary

Addresses

Primary practice location

217 Summit St
Galena, IL 61036

Mailing address

217 Summit St
Galena, IL 61036-1635
Phone (815) 777-3575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040331000179 IL Part B Supplier - Ambulance Service Supplier 7214929330 Practice locations: Galena, IL

National Provider Directory

National Provider Directory

Locations

217 Summit St
Galena, IL 61036
Phone (815) 541-3389

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1962476119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SUMMIT ST",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610361635",
            "telephone_number": "815-777-3575",
            "fax_number": "815-777-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SUMMIT ST",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "61036",
            "telephone_number": "815-777-3575",
            "fax_number": "815-777-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALENA AREA EMERGENCY MEDICAL SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "FRANGELLA FINLEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "815-777-3575"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "1032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.

Verify at the official NPI Registry.