Varna Community Fire Protection District
Organization Active NPI Land Ambulance · Varna, IL
NPI 1063007342 · NPPES record last updated Mar 8, 2021
Key facts
- NPI
- 1063007342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- VARNA COMMUNITY FIRE PROTECTION DISTRICT
- Practice address
- 50 Chestnut St
Varna, IL 61375-8953 - Phone
- (309) 463-2573
- NPI assigned
- Mar 8, 2021
- Organization subpart
- No
Authorized official
- Name
- Frank Fuller, PARAMEDIC
- Title
- EMS Chief
- Phone
- (815) 383-1494
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220121000458 | IL | Part B Supplier - Ambulance Service Supplier | 9335531466 | Practice locations: Varna, IL |
National Provider Directory
Locations
50 Chestnut St
Varna, IL 61375
Phone (309) 463-2573
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
50 Chestnut St
Varna, IL 61375-8953
Mailing address
50 Chestnut St
Varna, IL 61375-8953
Phone (309) 463-2573
Other names
- Varna Fire & Ambulance
Other providers in Varna, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.