CITY OF GRAYVILLE (NPI# 1952351330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952351330 |
| Entity Type | Organization |
| Organization Name | CITY OF GRAYVILLE |
| Other Organization Name | CITY OF GRAYVILLE AMBULANCE SERVICE |
| Practice Address |
122 S Court St Grayville IL 62844-1509 |
| Mailing Address |
122 South Court Grayville IL 62844 |
| Practice Telephone | 6183753671 |
| Practice Fax Number | 6183757869 |
| Mailing Telephone | 6183753671 |
| Mailing Fax Number | 6183757869 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2011-09-15 |
| Authorized Official Name | CINDY ANNE JUDGE (PAYROLL CLERK) |
| Authorized Official Telephone | 6183753671 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
5-51208 | IL | Transportation Services |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 09730354 | 01 |
| IL | RAILROAD | 590009587 | 01 |
| Other Name | Type Code |
|---|---|
| CITY OF GRAYVILLE AMBULANCE SERVICE | Doing Business As Name - Organization |
| Street Address |
122 S COURT ST |
| City | GRAYVILLE |
| State | IL |
| Zip Code | 62844-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346216215 | Ketan C Vyas | Internal Medicine | 610 N Court St, Grayville, IL 62844 | 2006-02-28 |
| 1477645216 | Keith C Winternheimer Dds PC | Dentist | 610 North Court, Grayville, IL 62844-1002 | 2006-09-29 |
| 1942774153 | Wabash General Hospital District | Clinic/Center | 610 N Court St, Grayville, IL 62844-1002 | 2019-01-22 |
| 1700221074 | Keith Clarence Winternheimer | Dentist | 610 North Court, Grayville, IL 62844-1002 | 2013-05-01 |
| 1225173347 | Alicia Kinsolving | Physician Assistant | 610 N Court St, Grayville, IL 62844-1002 | 2007-02-20 |
| 1700920097 | Ketan C. Vyas, M.d., LLC | Internal Medicine | 610 N Court St, Grayville, IL 62844-1002 | 2007-02-19 |
| 1184962664 | Abby Jo Moore | Doula | 840 N 1st St, Grayville, IL 62844-1016 | 2013-01-18 |
| 1811162423 | Grayville Cusd #1 | Local Education Agency (LEA) | 704 W North St, Grayville, IL 62844-1338 | 2008-04-24 |
| 1871764886 | Grayville Community Unit School District #1 | Local Education Agency (LEA) | 728 W North St, Grayville, IL 62844-1338 | 2008-03-18 |
| 1073730859 | Ralph Demaret | Pharmacist | 110 E North St, Grayville, IL 62844-1402 | 2007-04-20 |
| Find all providers in zip 62844 | ||||
| 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 |
|---|---|---|---|---|
| 1306468871 | Germantown Fire Protection District | Ambulance | 313 Prairie Ave, Germantown Hills, IL 61548-9290 | 2020-05-07 |
| 1740809870 | Blackhawk Fire Protection District | Ambulance | 3738 S Main St, Rockford, IL 61102-4239 | 2020-04-09 |
| 1134776859 | Preferred Ambulance LLC | Ambulance | 9449 S Kedzie Ave Ste 301, Evergreen Park, IL 60805-2325 | 2019-08-19 |
| 1407321938 | Alliance Ambulance LLC | Ambulance | 4248 Belle Aire Lane Suite 3, Downers Grove, IL 60515-1303 | 2018-10-11 |
| 1366924888 | Randolph Township Fire Protection District | Ambulance | 707 S. Vine St, Heyworth, IL 61745 | 2018-08-31 |
| 1033615307 | Bridget Mangan | Ambulance | 3559 W 101st St, Evergreen Park, IL 60805-3708 | 2018-04-04 |
| 1093211823 | Lakeside Ems LLC | Ambulance | 3293 E 500 North Rd, Neoga, IL 62447 | 2018-04-02 |
| 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 | ||||
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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.