Steger Estates Volunteer Fire Department

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7902 Issued in IL

Legal business name

STEGER ESTATES VOLUNTEER FIRE DEPARTMENT

Practice address

23940 S Kings Rd
Crete, IL 60417-9661

Phone

(708) 748-4816

Fax

(708) 748-9362

NPI assigned

Jun 19, 2006

Organization subpart

No

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

Authorized official

Name

Randy Manns

Title

Lieutenant / EMS Coordinator

Phone

(708) 748-4816

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1235174533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900457",
            "telephone_number": "847-577-8811",
            "fax_number": "847-577-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23940 S KINGS RD",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604179661",
            "telephone_number": "708-748-4816",
            "fax_number": "708-748-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEGER ESTATES VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "MANNS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "LIEUTENANT / EMS COORDINATOR",
        "authorized_official_telephone_number": "708-748-4816"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "7902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9932241",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Crete, IL
• Providers in Crete, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.