Organization Active NPI

County of Menard

Doing business as Menard County EMS

  • Ambulance
  • Petersburg, IL
National Provider Identifier
1982633541
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3 3431 Issued in IL
Legal business name
COUNTY OF MENARD
Doing business as
Menard County EMS
Practice address
19072 State Highway 123
Petersburg, IL 62675-7570
Phone
(217) 632-7700
Fax
(217) 632-7081
NPI assigned
Jul 3, 2006
Last updated
Jan 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Mr. Jonathon K Huss, PARAMEDIC
Title
EMS Chief/Administrator
Phone
(217) 632-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3 3431 IL Primary

Addresses

Primary practice location

19072 State Highway 123
Petersburg, IL 62675-7570

Mailing address

19072 State Highway 123
Petersburg, IL 62675-7570
Phone (217) 632-7000

Other names 1

  • Menard County EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051208000213 IL Part B Supplier - Ambulance Service Supplier 2163443961 Practice locations: Petersburg, IL

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

19072 State Highway 123
Petersburg, IL 62675
Phone (217) 632-7700

809 Old Salem Rd
Petersburg, IL 62675
Phone (217) 632-7700

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sunny Acres Nursing HomePetersburg, IL, CCN 146068 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 5, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1982633541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19072 STATE HIGHWAY 123",
            "city": "PETERSBURG",
            "state": "IL",
            "postal_code": "626757570",
            "telephone_number": "217-632-7000",
            "fax_number": "217-632-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19072 STATE HIGHWAY 123",
            "city": "PETERSBURG",
            "state": "IL",
            "postal_code": "626757570",
            "telephone_number": "217-632-7700",
            "fax_number": "217-632-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MENARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "HUSS",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EMS CHIEF/ADMINISTRATOR",
        "authorized_official_telephone_number": "217-632-7700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "3 3431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Menard County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Menard County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petersburg, IL

Sources for this page

Verify at the official NPI Registry.