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ILLINI NON EMERGENCY PATIENT TRANSP
NPI 1700599552
Ambulance - Land Transport in East Peoria, IL

Active since December 26, 2022CLIA 14D2290133 · Waiver
3700 N MAIN ST, EAST PEORIA, IL 61611(309) 840-4503 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2024, Jul 25, 2023, Feb 22, 2023 and 3 more (6 updates tracked since 2022).

About Illini Non Emergency Patient Transp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLINI NON EMERGENCY PATIENT TRANSP (NPI 1700599552) is a healthcare organization registered as a land transport in East Peoria, Illinois and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Jeramy Doerr, Owner, as its authorized official.

NPPES Registry Identity

NPI1700599552
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameMID ILLINI NON EMERGENCY PATIENT TRANSPORT LLC
Location Address3700 N MAIN STEast Peoria, IL 61611-1447
Mailing AddressPo Box 589Madisonville, KY 42431-5011 · (270) 824-8123 · Fax (270) 824-8140
Phone(309) 840-4503
Organization SubpartNo
Authorized OfficialJeramy DoerrOwner · (309) 840-4503
Enumeration DateDecember 26, 2022
Last NPPES UpdateApril 9, 20246 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1700599552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
3700 N MAIN ST, East Peoria, IL 61611
Open in Google Maps ↗

Other Names 1

Doing Business AsIllini Non Emergency Patient Transp

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2290133

Mid Illini Non Emergency Patient Transport, LLC · East Peoria, IL
Active · expires Sep 20, 2027
CLIA Number14D2290133
Laboratory TypeAmbulance
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorJeramy M. Doerr
Laboratory Phone(309) 840-4503
Laboratory LocationMid Illini Non Emergency Patient Transport, LLC3700 N Main St, East Peoria, IL 61611
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
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.
11,876 services714 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
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.
746 services703 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
16 services15 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid Illini Non Emergency Patient Transport LLC's NPI number?

The NPI number for Mid Illini Non Emergency Patient Transport LLC is 1700599552. It was assigned to this organization in the NPPES registry on December 26, 2022. The provider is doing business as Illini Non Emergency Patient Transp.

Where is Mid Illini Non Emergency Patient Transport LLC located?

Mid Illini Non Emergency Patient Transport LLC is located at 3700 N Main St, East Peoria, IL 61611. The listed phone number is (309) 840-4503.

What is Mid Illini Non Emergency Patient Transport LLC's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Mid Illini Non Emergency Patient Transport LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2290133) is associated with this NPI, valid through September 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mid Illini Non Emergency Patient Transport LLC was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.