# EASTERN MCLEAN COUNTY AMBULANCE ASSOC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EMCAA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922166727
- **Authorized official:** NANCY KIPER (BOARD SECRETARY / TREASURER)
- **Authorized official phone:** (309) 723-3261

## Contact information

- **Practice address:** 124 E MAIN ST, COLFAX, IL 61728-0183
- **Practice address phone:** (309) 723-3261
- **Practice address fax:** (309) 723-3711
- **Mailing address:** 124 E MAIN ST, PO BOX 183, COLFAX, IL 61728-0183
- **Mailing address phone:** (309) 723-3261
- **Mailing address fax:** (309) 723-3711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 26514 | IL | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 01/18/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 371017409001 | — | IL |
| 01 | — | 5770614 | BLUE CROSS BLUE SHIELD | IL |
| 01 | — | 791590228 | RR MEDICARE | IL |