Organization Active NPI

Buckley Fire Protection District

  • Ambulance
  • Buckley, IL
National Provider Identifier
1245383181
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
6751 Issued in IL
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

Updated by the provider on May 15, 2012

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080216000010 IL Part B Supplier - Ambulance Service Supplier 2163505900 Practice locations: Buckley, IL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.