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MILLSTADT AMBULANCE SERVICE
NPI 1780709139
Ambulance - Land Transport in Millstadt, IL

Active since March 21, 2007CLIA 14D2334983 · Waiver
100 E LAUREL ST, MILLSTADT, IL 62260(618) 476-1201 Get Directions Write a Review

NPPES record last updated: February 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2026, Mar 19, 2021 (2 updates tracked since 2021).

About Millstadt Ambulance Service NPPES

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

MILLSTADT AMBULANCE SERVICE (NPI 1780709139) is a healthcare organization registered as a land transport in Millstadt, Illinois and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through December 3, 2027 and lists Jennifer Marie Goetz, Chief, as its authorized official.

NPPES Registry Identity

NPI1780709139
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameMILLSTADT AMBULANCE SERVICE
Location Address100 E LAUREL STMillstadt, IL 62260-1510
Mailing AddressPo Box 547Wheeling, IL 60090-0547 · (618) 476-1201 · Fax (336) 791-0196
Phone(618) 476-1201
Organization SubpartNo
Authorized OfficialJennifer Marie GoetzChief · (618) 476-1201
Enumeration DateMarch 21, 2007
Last NPPES UpdateFebruary 7, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2026
✔ NPI 1780709139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in IL · 34
100 E LAUREL ST, Millstadt, IL 62260
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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 14D2334983

Milstadt Ambulance Service · Millstadt, IL
Active · expires Dec 3, 2027
CLIA Number14D2334983
Laboratory TypeAmbulance
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorKenneth L. James Jr
Laboratory Phone(618) 719-3558
Laboratory LocationMilstadt Ambulance Service100 E Laurel St, Millstadt, IL 62260
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
5,866 services336 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.
286 services242 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
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.
62 services55 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
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.
56 services50 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 Millstadt Ambulance Service's NPI number?

The NPI number for Millstadt Ambulance Service is 1780709139. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Millstadt Ambulance Service located?

Millstadt Ambulance Service is located at 100 E Laurel St, Millstadt, IL 62260. The listed phone number is (618) 476-1201.

What is Millstadt Ambulance Service's specialty?

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

Does Millstadt Ambulance Service hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2334983) is associated with this NPI, valid through December 3, 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 Millstadt Ambulance Service was last updated on February 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.