Walnut Fire Department Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2895 Issued in IL

Legal business name

WALNUT FIRE DEPARTMENT INC

Practice address

115 Liberty Street
Walnut, IL 61376

Phone

(815) 379-2341

Fax

(815) 379-9531

NPI assigned

Jan 12, 2007

Last updated

Sep 7, 2007By 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

Mr. Jonathan K Davis

Title

Rescue Captain

Phone

(815) 379-9257

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1083764880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LIBERTY STREET P.O. BOX 277",
            "city": "WALNUT",
            "state": "IL",
            "postal_code": "61376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LIBERTY STREET",
            "city": "WALNUT",
            "state": "IL",
            "postal_code": "61376",
            "telephone_number": "815-379-2341",
            "fax_number": "815-379-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT FIRE DEPARTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "RESCUE CAPTAIN",
        "authorized_official_telephone_number": "815-379-9257",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "2895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Rackley Perry Memorial Hospital (Perry Memorial Walnut Clinic)
• Michael McAlvey
• Aspen Quadri
• Kelly Cotaleen Todd, PNP
• Heidi Allison Wilken Wallace, LCSW
• Walnut Fire Protection District

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.