Organization Active NPI

Troy Fire Protection District

  • Land Ambulance
  • Troy, IL
National Provider Identifier
1295164655
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TROY FIRE PROTECTION DISTRICT
Practice address
116 W Clay St
Troy, IL 62294-1111
Phone
(618) 667-6722
Fax
(618) 667-6795
NPI assigned
Nov 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Mr. Darin L Hartman
Title
Ambulance Director
Phone
(618) 667-6722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

116 W Clay St
Troy, IL 62294-1111

Mailing address

116 W Clay St
Troy, IL 62294-1111
Phone (618) 667-6722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140619001608 IL Part B Supplier - Ambulance Service Supplier 3870717549 Practice locations: Troy, IL

National Provider Directory

National Provider Directory

Locations

116 W Clay St
Troy, IL 62294
Phone (618) 667-6722

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1295164655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W CLAY ST",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622941111",
            "telephone_number": "618-667-6722",
            "fax_number": "618-667-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W CLAY ST",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622941111",
            "telephone_number": "618-667-6722",
            "fax_number": "618-667-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AMBULANCE DIRECTOR",
        "authorized_official_telephone_number": "618-667-6722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.