Varna Community Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

VARNA COMMUNITY FIRE PROTECTION DISTRICT

Doing business as

Varna Fire & Ambulance

Practice address

50 Chestnut St
Varna, IL 61375-8953

Phone

(309) 463-2573

NPI assigned

Mar 8, 2021

Last updated

Mar 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frank Fuller, PARAMEDIC

Title

EMS Chief

Phone

(815) 383-1494

Specialties & licenses 1

Addresses

Other names 1

• Varna Fire & Ambulance 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": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1063007342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CHESTNUT ST",
            "city": "VARNA",
            "state": "IL",
            "postal_code": "613758953",
            "telephone_number": "309-463-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CHESTNUT ST",
            "city": "VARNA",
            "state": "IL",
            "postal_code": "613758953",
            "telephone_number": "309-463-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARNA COMMUNITY FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "815-383-1494",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Varna Fire & Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Lynn Randolph, LCSW

• Land Ambulance in Varna, IL
• Providers in Varna, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.