SOUTH EAST LIVINGSTON COUNTY AMBULANCE SERVICE, INC
NPI 1407856974
Ambulance - Land Transport in Fairbury, IL

NPI Status: Active since July 27, 2005

Contact Information

310 W LOCUST ST
FAIRBURY, IL
ZIP 61739
Phone: (815) 692-3452
Fax: (815) 692-2414

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 14D0892371
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 09-27-2026

About SOUTH EAST LIVINGSTON COUNTY AMBULANCE SERVICE, INC

This page provides the complete NPI Profile along with additional information for South East Livingston County Ambulance Service, Inc, a provider established in Fairbury, Illinois operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1407856974 assigned on July 2005. The practitioner's primary taxonomy code is 3416L0300X with license number 26721 (IL). The provider is registered as an organization and their NPI record was last updated February 2026. The provider's . The authorized official of this NPI record is Jeremy Stoller (Procurement Officer)

NPI
1407856974
Provider Legal Name
SOUTH EAST LIVINGSTON COUNTY AMBULANCE SERVICE, INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
310 W LOCUST ST FAIRBURY, IL 61739
Location Phone
(815) 692-3452
Location Fax
(815) 692-2414
Mailing Address
310 W LOCUST ST FAIRBURY, IL 61739
Mailing Phone
(815) 692-3452
Mailing Fax
(815) 692-2414
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-27-2005
Last Update Date
02-11-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance Land Transport

Taxonomy Code
3416L0300X
Type
Transportation Services
License No.
26721
License State
IL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEREMY STOLLER

Authorized Official Title
PROCUREMENT OFFICER
Authorized Official Phone
(815) 692-3658

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
590011250OTHER (01)ILRAILROAD MEDICARE
5390005OTHER (01)ILBCBS OF IL PROVIDER #

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)

Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.

This service was performed 205 times for 155 patients

Ambulance service, basic life support, emergency transport (bls-emergency)

Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.

This service was performed 98 times for 79 patients

Ambulance service, basic life support, non-emergency transport, (bls)

Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.

This service was performed 13 times for 11 patients

Ground mileage, per statute mile

Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.

This service was performed 8,440 times for 217 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D0892371
Facility Type
Other
Certificate Effective Date
September 28, 2024
Certificate Expiration Date
September 27, 2026
Laboratory Director
DONITA HARGITT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to South East Livingston County Ambulance Service, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SOUTH EAST LIVINGSTON COUNTY AMBULANCE SERVICE, INC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407856974, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 1 + 6 + 5 + 1 + 2 + 9 + 1 + 4 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1407856974.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407856974, enumerated as an "organization" on July 27, 2005.

The provider is located at 310 W LOCUST ST FAIRBURY, IL 61739 and the phone number is (815) 692-3452.

Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.

The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to verify.