Active NPI
Buckley Fire Protection District
- Ambulance
- Buckley, IL
National Provider Identifier
1245383181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 6751
- Legal business name
- BUCKLEY FIRE PROTECTION DISTRICT
- Doing business as
- Buckley Ambulance Service
- Practice address
- 104 E Lincoln Street
Buckley, IL 60918-0104 - Phone
- (217) 394-2032
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald Lenington
- Title
- Medical Director
- Phone
- (217) 249-4888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 6751 | IL | Primary |
Addresses
Primary practice location
104 E Lincoln Street
Buckley, IL 60918-0104
Mailing address
104 E Lincoln Street
P.O. Box 104
Buckley, IL 60918-0104
Other names 1
- Buckley Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080216000010 | IL | Part B Supplier - Ambulance Service Supplier | 2163505900 | Practice locations: Buckley, IL |
National Provider Directory
National Provider DirectoryLocations
104 E Lincoln St
Buckley, IL 60918
Phone (217) 394-2032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337040000000",
"number": "1245383181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 E LINCOLN STREET",
"address_2": "P.O. BOX 104",
"city": "BUCKLEY",
"state": "IL",
"postal_code": "609180104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 E LINCOLN STREET",
"city": "BUCKLEY",
"state": "IL",
"postal_code": "609180104",
"telephone_number": "217-394-2032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUCKLEY FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2012-05-15",
"status": "A",
"authorized_official_last_name": "LENINGTON",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "217-249-4888"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IL",
"license": "6751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Buckley Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Buckley, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.