CERRO GORDO COMM AMB SRVC (NPI# 1013050897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013050897 |
| Entity Type | Organization |
| Organization Name | CERRO GORDO COMM AMB SRVC |
| Practice Address |
304 E North St Cerro Gordo IL 61818-0181 |
| Mailing Address |
Po Box 181 304 E North St Cerro Gordo IL 61818-0181 |
| Practice Telephone | 2177635251 |
| Practice Fax Number | 2177636173 |
| Mailing Telephone | 2177635251 |
| Mailing Fax Number | 2177636173 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | CURT VULGAMOTT (BOARD OF DIRECTORS PRESIDENT) |
| Authorized Official Telephone | 2177635251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
66541 | IL | Transportation Services |
| Street Address |
304 E NORTH ST |
| City | CERRO GORDO |
| State | IL |
| Zip Code | 61818-0181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700060688 | Cerro Gordo School Dist 100 | Local Education Agency (LEA) | 300 E Durfee St, Cerro Gordo, IL 61818 | 2007-12-27 |
| 1053514919 | John Albert Sochor | Dentist | 223 E South St, Cerro Gordo, IL 61818-0739 | 2007-06-07 |
| 1508219288 | Kirby Medical Center | Clinic/Center | 407 South Jackson Street, Suite A, Cerro Gordo, IL 61818-4356 | 2016-07-19 |
| 1245777911 | Jac Stores Inc | Pharmacy | 407 S Jackson St, Cerro Gordo, IL 61818-4360 | 2017-01-19 |
| 1023360419 | Kimberly A Kish | Nurse Practitioner | 407 S Jackson St Ste A, Cerro Gordo, IL 61818-4360 | 2012-10-09 |
| 1952799843 | Tanya Marie Bowsher | Nurse Practitioner | 407 S Jackson St Ste A, Cerro Gordo, IL 61818-4360 | 2014-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700347994 | Doctor of Physical Therapy | Physical Therapist | 2450 Otto Nance Rd, Cerro Gordo, NC 28430 | 2019-03-29 |
| 1245777911 | Jac Stores Inc | Pharmacy | 407 S Jackson St, Cerro Gordo, IL 61818-4360 | 2017-01-19 |
| 1508219288 | Kirby Medical Center | Clinic/Center | 407 South Jackson Street, Suite A, Cerro Gordo, IL 61818-4356 | 2016-07-19 |
| 1023360419 | Kimberly A Kish | Nurse Practitioner | 407 S Jackson St Ste A, Cerro Gordo, IL 61818-4360 | 2012-10-09 |
| 1205184694 | G&g Healthcare, PC | Clinic/Center | 7490 Andrew Jackson Hwy, Cerro Gordo, NC 28430-0250 | 2012-08-16 |
| 1538300900 | Darlene Hill Pressley | Family Medicine | 7490 Andrew Jackson Hwy Sw, Cerro Gordo, NC 28430-0250 | 2009-03-16 |
| 1700060688 | Cerro Gordo School Dist 100 | Local Education Agency (LEA) | 300 E Durfee St, Cerro Gordo, IL 61818 | 2007-12-27 |
| 1053514919 | John Albert Sochor | Dentist | 223 E South St, Cerro Gordo, IL 61818-0739 | 2007-06-07 |
| 1376667154 | G&g Healthcare, PC Cerro Gordo | Family Medicine | 7490 Andrew Jackson Highway, Cerro Gordo, NC 28430 | 2007-03-19 |
| 1366545642 | James Lennart Carlson | Family Medicine | 7490 Andrew Jackson Hwy.sw, Cerro Gordo, NC 28430 | 2006-09-05 |
| Find all providers in CERRO GORDO | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417904277 | Cerro Gordo Volunteer Fire Department and Rescue Squad Inc | Ambulance | 75 E Railroad St, Cerro Gordo, NC 28430-0000 | 2006-05-27 |
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| 1902301013 | Ability Transportation Inc | Ambulance | 24459 W Eames St, Channahon, IL 60410-5591 | 2018-03-29 |
| 1417472739 | City of Benton | Ambulance | 107 N. Maple St., Benton, IL 62812 | 2017-08-08 |
| 1619499878 | Mission Care of Illinois LLC | Ambulance | 812 N 3rd St, Effingham, IL 62401-3130 | 2017-07-10 |
| Find all providers with the same taxonomy | ||||
| City | CERRO GORDO |
| Zip Code | 61818 |
Please comment or provide details below to improve the information on CERRO GORDO COMM AMB SRVC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.