Active NPI
Hamilton County Ambulance Service
- Land Ambulance
- McLeansboro, IL
National Provider Identifier
1982290276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- HAMILTON COUNTY AMBULANCE SERVICE
- Practice address
- 305 W Saint Charles Ave
MC Leansboro, IL 62859-1127 - Phone
- (618) 643-9366
- NPI assigned
- Dec 21, 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
- John Nathan Taylor
- Title
- President
- Phone
- (618) 237-0220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
305 W Saint Charles Ave
MC Leansboro, IL 62859-1127
Mailing address
PO Box 474
MC Leansboro, IL 62859-0474
Phone (618) 643-9366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210924002233 | IL | Part B Supplier - Ambulance Service Supplier | 4789081217 | Practice locations: MC Leansboro, IL |
National Provider Directory
National Provider DirectoryLocations
305 W Saint Charles Ave
Mc Leansboro, IL 62859
Phone (618) 643-9366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1982290276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 474",
"city": "MC LEANSBORO",
"state": "IL",
"postal_code": "628590474",
"telephone_number": "618-643-9366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W SAINT CHARLES AVE",
"city": "MC LEANSBORO",
"state": "IL",
"postal_code": "628591127",
"telephone_number": "618-643-9366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMILTON COUNTY AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-21",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "NATHAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-237-0220"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McLeansboro, IL
- Freds Stores of Tennessee Inc (Freds Pharmacy 2349)
- Gholson Funeral Home LTD
- Grace Healthcare Services, LLC
- Brian D. Haeuber, D.M.D
- Hamilton Co Cu School Dist 10
- Hamilton County Cusd No 10
- Hamilton County Health Department
- Hamilton Memorial Hospital District
- Hamilton Memorial Hospital District (Downtown Family Clinic)
- Hamilton Memorial Hospital District (Hamilton Memorial Family Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.