NPIMap

Organization Active NPI

Danvers Emergency & Rescue Service

  • Emergency Care Clinic/Center
  • Danvers, IL
National Provider Identifier
1306017256
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
676601 Issued in IL
Legal business name
DANVERS EMERGENCY & RESCUE SERVICE
Practice address
208 E. Main St.
Danvers, IL 61732-9197
Phone
(309) 963-4048
Fax
(309) 963-4048
NPI assigned
Mar 19, 2008
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Gail A Litwiller
Title
Billing Clerk
Phone
(309) 963-4048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 676601 IL Primary

Addresses

Primary practice location

208 E. Main St.
Danvers, IL 61732-9197

Mailing address

208 E. Main St.
P. O. Box 524
Danvers, IL 61732
Phone (309) 963-4048

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1306017256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E. MAIN ST.",
            "address_2": "P. O. BOX 524",
            "city": "DANVERS",
            "state": "IL",
            "postal_code": "61732",
            "telephone_number": "309-963-4048",
            "fax_number": "309-963-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E. MAIN ST.",
            "city": "DANVERS",
            "state": "IL",
            "postal_code": "617329197",
            "telephone_number": "309-963-4048",
            "fax_number": "309-963-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVERS EMERGENCY & RESCUE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "LITWILLER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "309-963-4048"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "IL",
            "license": "676601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.