STOCKTON COMMUNITY AMBULANCE
NPI 1629014774
Emergency Medical Technician, Intermediate in Stockton, IL
NPI Status: Active since June 20, 2006
Contact Information
113 E QUEEN ST
STOCKTON, IL
ZIP 61085
Phone: (815) 947-3500
Fax: (815) 947-9102
- Organization
- Emergency Medical Technician, Intermedia...
About STOCKTON COMMUNITY AMBULANCE
This page provides the complete NPI Profile along with additional information for Stockton Community Ambulance, a provider established in Stockton, Illinois operating as a Emergency Medical Technician, Intermediate. The healthcare provider is registered in the NPI registry with number 1629014774 assigned on June 2006. The practitioner's primary taxonomy code is 146M00000X with license number 100803 (IL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Stockton Community Ambulance. The authorized official of this NPI record is Mrs. Debra J Heidenreich Phrn (President)
- NPI
- 1629014774
- Provider Legal Name
- STOCKTON FIRE PROTECTION DIST
- Other Organization Name
- STOCKTON COMMUNITY AMBULANCE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 113 E QUEEN ST STOCKTON, IL 61085
- Location Phone
- (815) 947-3500
- Location Fax
- (815) 947-9102
- Mailing Address
- 113 E QUEEN ST STOCKTON, IL 61085
- Mailing Phone
- (815) 947-3500
- Mailing Fax
- (815) 947-9102
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-20-2006
- Last Update Date
- 05-11-2011
- Code Navigator
Location Map
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
Emergency Medical Technician, Intermediate
- Taxonomy Code
- 146M00000X
- Type
- Emergency Medical Service Providers
- License No.
- 100803
- License State
- IL
- Taxonomy Description
- An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 146M00000X | Emergency Medical Service Providers | Emergency Medical Technician, Intermediate | 100802 (IL) |
| 2 | 146N00000X | Emergency Medical Service Providers | Emergency Medical Technician, Basic | 100803 (IL) |
| 3 | 146N00000X | Emergency Medical Service Providers | Emergency Medical Technician, Basic | 100802 (IL) |
| 4 | 3416L0300X | Transportation Services | Ambulance | 100802 (IL) |
| 5 | 3416L0300X | Transportation Services | Ambulance | 100803 (IL) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| 205050 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| =========001 | MEDICAID (05) | IL |
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, basic life support, emergency transport (bls-emergency)
Ground mileage, per statute mile
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 48 times for 41 patientsAmbulance 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 12 times for 12 patientsGround 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 1,440 times for 51 patientsReviews for STOCKTON COMMUNITY AMBULANCE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 2 | 9 | 0 | 1 | 4 | 7 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 0 | 1 | 8 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 0 + 1 + 8 + 7 + 1 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1629014774 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629014774, enumerated as an "organization" on June 20, 2006.
The provider is located at 113 E QUEEN ST STOCKTON, IL 61085 and the phone number is (815) 947-3500.
Emergency Medical Technician, Intermediate with taxonomy code 146M00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
