POPE COUNTY VOLUNTEER AMBULANCE SERVICE (NPI# 1740296219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740296219 |
Entity Type | Organization |
Organization Name | POPE COUNTY VOLUNTEER AMBULANCE SERVICE |
Practice Address |
407 E Main St Golconda IL 62938 |
Practice Telephone | 6186832707 |
Practice Fax Number | 6186832707 |
Mailing Telephone | 6186832707 |
Mailing Fax Number | 6186832707 |
Enumeration Date | 2006-08-01 |
Last Update Date | 2012-07-18 |
Authorized Official Name | MS. SABRINA D BANKS (DIRECTOR) |
Authorized Official Telephone | 6186832707 |
Authorized Official Credential | EMT PARAMEDIC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
501701 | IL | Transportation Services |
Street Address |
407 E MAIN ST |
City | GOLCONDA |
State | IL |
Zip Code | 62938 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487788261 | Pope County Care Home Inc | Durable Medical Equipment & Medical Supplies | 216 E Rosalie Street, Golconda, IL 62938 | 2007-03-15 |
1316086788 | W Christine Davis | Nurse Practitioner | 217 S Adams St, Golconda, IL 62938 | 2007-02-05 |
1487716460 | Jane James | Counselor | 125 N Market, Golconda, IL 62938 | 2006-12-15 |
1538114608 | Family Counseling Center, Inc. | Private Vehicle | 125 North Market Street, Golconda, IL 62938 | 2006-05-24 |
1275525735 | Community Health & Emergency Services, Inc. | Clinic/Center | One North Monroe, Golconda, IL 62938 | 2005-08-19 |
1184623332 | Pope County Care Home Inc | Nursing Facility/Intermediate Care Facility | 216 E Rosalie, Golconda, IL 62938 | 2005-07-19 |
1306093075 | Family Counseling Center, Inc. | Clinic/Center | 125 North Market Street, Golconda, IL 62938 | 2008-08-25 |
1417022310 | Bode Drug Inc | Pharmacy | 225 E Main St, Golconda, IL 62938 | 2006-11-24 |
1821548355 | Rachel Jabr | Driver | 115 E Pope St, Apt 6, Golconda, IL 62938-1057 | 2016-10-07 |
1396243317 | Hardin County Pharmacy LLC | Pharmacy | 226 S Adams St, Golconda, IL 62938-1109 | 2018-01-24 |
Find all providers in zip 62938 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1417472739 | City of Benton | Ambulance | 107 N. Maple St., Benton, IL 62812 | 2017-08-08 |
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Find all providers with the same taxonomy |
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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.