Coulterville Emergency Ambulance Service

Primary specialty

AmbulanceTaxonomy code 341600000X

License

4 4834 Issued in IL

Legal business name

COULTERVILLE EMERGENCY AMBULANCE SERVICE

Practice address

114 N. Fourth Street
Coulterville, IL 62237-0374

Phone

(618) 758-2813

NPI assigned

Feb 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth E Curry

Title

Clerktreasurer

Phone

(618) 758-2813

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962547315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N. FOURTH STREET",
            "address_2": "P.O. BOX 374",
            "city": "COULTERVILLE",
            "state": "IL",
            "postal_code": "622370374",
            "telephone_number": "618-758-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N. FOURTH STREET",
            "city": "COULTERVILLE",
            "state": "IL",
            "postal_code": "622370374",
            "telephone_number": "618-758-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COULTERVILLE EMERGENCY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CURRY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLERKTREASURER",
        "authorized_official_telephone_number": "618-758-2813",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "4 4834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Beckemeyer, MD
• Megan Bleem
• Candace K Cook, FNP
• Coulterville Rehabilitation & Health Care Center, LLC (Coulterville Rehabilitation & Health Care Center)
• Coulterville Unit District No 1
• Courtnie Dietz, PTA
• Sara R Dumond
• Ashley N Hundelt, FNP-BC

• Ambulance in Coulterville, IL
• Providers in Coulterville, IL by specialty
• Ambulance in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.