MEDICARE: ADAMS COUNTY AMBULANCE & E M S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	33455	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0000190001	OTHER	IL	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730186271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAMS COUNTY AMBULANCE & E M S

Provider Business Mailing Address
First Line	:	507 VERMONT ST
Second Line	:
City	:	QUINCY
State	:	IL
Zip	:	62301-2920
Country	:	US
Telephone Number	:	217-277-2001
Fax Number	:	217-277-2006

Provider Business Practice Location Address
First Line	:	222 N 52ND ST
Second Line	:
City	:	QUINCY
State	:	IL
Zip	:	62305-9114
Country	:	US
Telephone Number	:	217-277-2001
Fax Number	:	217-277-2006

Authorized Official
Title or Position	:	CHIEF
Name	:	JOHN SIMON
Credential	:
Telephone Number	:	217-277-2005

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	06/27/2024

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Directions to “ADAMS COUNTY AMBULANCE & E M S ” Practice Location

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