Spring Bay Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

250702 Issued in IL

Legal business name

SPRING BAY FIRE PROTECTION DISTRICT

Practice address

310 W Missouri St
Spring Bay, IL 61611-9170

Phone

(309) 822-0152

Fax

(309) 822-8693

NPI assigned

Jun 26, 2008

Last updated

Jul 23, 2008By 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

John L Schaer

Title

Trustee

Phone

(309) 822-8770

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": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1205098787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W MISSOURI ST",
            "city": "SPRING BAY",
            "state": "IL",
            "postal_code": "61611",
            "telephone_number": "309-822-0152",
            "fax_number": "309-822-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W MISSOURI ST",
            "city": "SPRING BAY",
            "state": "IL",
            "postal_code": "616119170",
            "telephone_number": "309-822-0152",
            "fax_number": "309-822-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING BAY FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "SCHAER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "309-822-8770"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "250702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Atherton-Benner

• Land Ambulance in Spring Bay, IL
• Providers in Spring Bay, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.