Gridley Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

650901/650902 Issued in IL

Legal business name

GRIDLEY FIRE PROTECTION DISTRICT

Practice address

105 E 3Rd St
Gridley, IL 61744-7725

Phone

(309) 747-2699

Fax

(309) 747-2825

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Timothy P Schaefer, EMTI

Title

President

Phone

(309) 747-3037

Specialties & licenses 1

Addresses

Other names 1

• GRIDLEY EMERGENCY MEDICAL SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caleb Joseph Kaupp, EMT

  • Basic Emergency Medical Technician
  • Gridley, IL
  • NPI 1730964537
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1073569786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E 3RD ST",
            "address_2": "PO BOX 453",
            "city": "GRIDLEY",
            "state": "IL",
            "postal_code": "617447725",
            "telephone_number": "309-747-2699",
            "fax_number": "309-747-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E 3RD ST",
            "city": "GRIDLEY",
            "state": "IL",
            "postal_code": "617447725",
            "telephone_number": "309-747-2699",
            "fax_number": "309-747-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIDLEY FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-747-3037",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMTI"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "650901/650902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRIDLEY EMERGENCY MEDICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen T. Blue, D.D.S.
• Jeanie Christine Bree
• Gibson Pediatric Speech Services
• Melissa Gibson
• Caleb Joseph Kaupp, EMT
• Charles L. Proesel Jr., D.D.S.
• Ansley Ridgeway
• Sarah Jane Ruff, P.T.
• Timothy D. Supan, D.M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.