City of Freeport

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1362 Issued in IL

Legal business name

CITY OF FREEPORT

Practice address

1650 S Walnut Ave
Freeport, IL 61032-6458

Phone

(815) 235-8220

NPI assigned

Dec 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Scott Miller

Title

Fire Chief

Phone

(815) 235-8217

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Freeport Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1043376643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900457",
            "telephone_number": "815-235-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 S WALNUT AVE",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326458",
            "telephone_number": "815-235-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FREEPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-235-8217"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "1362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL PROVIDER",
            "identifier": "8990002",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "590008747",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freeport Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Chapple
• David Cheng, MD
• Young Chung, MD
• Charles Cicero
• Citadel at Saint Joseph Village LLC
• Sue Ann Clark Sr., LCSW
• Tori Clark, FNP-BC
• Tracy Clay, NP
• Kathleen Marie Ehlbeck Coe, D.O.
• Brigitte Coglianese, COTA

• All providers in Freeport, IL
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.