Organization Active NPI

City of Litchfield

  • Ambulance
  • Litchfield, IL
National Provider Identifier
1104915867
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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)CodeLicenseStatePrimary
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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080415000654 IL Part B Supplier - Ambulance Service Supplier 0840378907 Practice locations: Litchfield, IL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.