Organization Active NPI

Lynch Area Fire Protection District

  • Land Ambulance
  • Danville, IL
National Provider Identifier
1245334812
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
232750 Issued in IL
Legal business name
LYNCH AREA FIRE PROTECTION DISTRICT
Practice address
2315 Perrysville Rd
Danville, IL 61834-9452
Phone
(217) 442-0153
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Authorized official

Name
Dustin L Heiser
Title
EMS Coordinator
Phone
(217) 446-9038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 232750 IL Primary

Addresses

Primary practice location

2315 Perrysville Rd
Danville, IL 61834-9452

Mailing address

PO Box 641880
Omaha, NE 68164-7880
Phone (402) 572-4019

Other identifiers 2

IdentifierTypeStateIssuer
P00305370OtherRR MEDICARE
0009232022OtherBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050223000355 IL Part B Supplier - Ambulance Service Supplier 6901859677 Practice locations: Danville, IL

National Provider Directory

National Provider Directory

Locations

2315 Perrysville Rd
Danville, IL 61834
Phone (217) 260-2955

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1245334812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 PERRYSVILLE RD",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618349452",
            "telephone_number": "217-442-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNCH AREA FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "HEISER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "217-446-9038"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "232750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00305370",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0009232022",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.