Active NPI
City of Litchfield
- Ambulance
- Litchfield, IL
National Provider Identifier
1104915867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CITY OF LITCHFIELD
- Practice address
- 201 East Edwards
Litchfield Ave Ambulance Service
Litchfield, IL 62056 - Phone
- (217) 324-4042
- NPI assigned
- Oct 12, 2006
- Last updated
- Oct 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam K Pennock
- Title
- Fire Chief
- Phone
- (217) 324-8170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | IL | Primary |
Addresses
Primary practice location
201 East Edwards
Litchfield Ave Ambulance Service
Litchfield, IL 62056
Mailing address
PO Box 6253
Carol Stream, IL 60197-6253
Other names 1
- LITCHFIELD AREA AMBULANCE SERVICE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080415000654 | IL | Part B Supplier - Ambulance Service Supplier | 0840378907 | Practice locations: Litchfield, IL |
National Provider Directory
National Provider DirectoryLocations
120 E Ryder St
Litchfield, IL 62056
Phone (217) 324-8171
201 E Edwards St
Litchfield, IL 62056
Phone (217) 324-4042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792713600000",
"number": "1104915867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6253",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601976253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 EAST EDWARDS",
"address_2": "LITCHFIELD AVE AMBULANCE SERVICE",
"city": "LITCHFIELD",
"state": "IL",
"postal_code": "62056",
"telephone_number": "217-324-4042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF LITCHFIELD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2026-10-23",
"certification_date": "2026-10-23",
"status": "A",
"authorized_official_last_name": "PENNOCK",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "217-324-8170"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LITCHFIELD AREA AMBULANCE SERVICE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Litchfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.