Utica Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

22585 Issued in IL

Legal business name

UTICA FIRE PROTECTION DISTRICT

Practice address

2945 N. Route 178
Utica, IL 61373

Phone

(815) 667-4113

NPI assigned

Mar 13, 2007

Last updated

May 25, 2011By 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. Mark Bierbom

Title

EMS Director

Phone

(815) 667-4113

Specialties & licenses 1

Addresses

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1114050812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 N. ROUTE 178",
            "city": "UTICA",
            "state": "IL",
            "postal_code": "61373",
            "telephone_number": "815-667-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 N. ROUTE 178",
            "city": "UTICA",
            "state": "IL",
            "postal_code": "61373",
            "telephone_number": "815-667-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTICA FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "BIERBOM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "815-667-4113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "22585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmoud Salameh, DMD
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• Jessica Turczyn, NP-C
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• Land Ambulance in Utica, IL
• Providers in Utica, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.