NPIMap

Organization Active NPI

Congerville Rural Fire District

  • Land Ambulance
  • Congerville, IL
National Provider Identifier
1174716369
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
22516 Issued in IL
Legal business name
CONGERVILLE RURAL FIRE DISTRICT
Practice address
102 S Sharp
Congerville, IL 61729
Phone
(309) 360-2338
NPI assigned
Aug 22, 2007
Last updated
Jan 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Dave Zobrist
Title
Fire Chief
Phone
(309) 360-2338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 22516 IL Primary

Addresses

Primary practice location

102 S Sharp
Congerville, IL 61729

Mailing address

PO Box 85
Congerville, IL 61729
Phone (309) 360-2338

Other names 1

  • Congerville Rural Fire District Other name

National Provider Directory

National Provider Directory

Locations

102 Sharp St
Congerville, IL 61729
Phone (309) 208-7437

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1174716369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "CONGERVILLE",
            "state": "IL",
            "postal_code": "61729",
            "telephone_number": "309-360-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S SHARP",
            "city": "CONGERVILLE",
            "state": "IL",
            "postal_code": "61729",
            "telephone_number": "309-360-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONGERVILLE RURAL FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "ZOBRIST",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "309-360-2338"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "22516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Congerville Rural Fire District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Congerville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.