Active NPI
County of Menard
Doing business as Menard County EMS
- Ambulance
- Petersburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3 3431
- 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, 2025
- 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
- Mr. Jonathon K Huss, PARAMEDIC
- Title
- EMS Chief/Administrator
- Phone
- (217) 632-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051208000213 | IL | Part B Supplier - Ambulance Service Supplier | 2163443961 | Practice locations: Petersburg, IL |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Sunny Acres Nursing Home
- Skilled Nursing Facility
- Petersburg, IL
- NPI 1497856785
Member Of
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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Sunny Acres Nursing Home | 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.
-
dba Sunny Acres Nursing Home
- Skilled Nursing Facility
- Petersburg, IL
- NPI 1497856785
5% Or Greater Direct Ownership Interest
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.
-
dba Menard County Health Department
- Public Health or Welfare Agency
- Petersburg, IL
- NPI 1528106812
-
- Home Health Agency
- Petersburg, IL
- NPI 1295704021
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
- Catherine Bockmier-Sommers, MA, LCPC
- Brighter Days Counseling Services, PLLC
- Stormi Brue, MS, CCC-SLP
- Emily Marie Claycomb, LMT
- County of Menard (Menard County Health Department)
- John Charles Curry, D.C.
- Paul Douglas Davis, DDS
- Veronica Lee Dombroski-Speaks, D.C.
- Stormy Christen Edwards, COTA
- Michael Gensler, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.