Annawan-Alba Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ANNAWAN-ALBA FIRE PROTECTION DISTRICT

Practice address

101 S Main St
Annawan, IL 61234-7704

Phone

(309) 935-6223

NPI assigned

Feb 13, 2012

Last updated

Feb 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Albert G Hulting

Title

Trustee

Phone

(309) 935-6384

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1306119953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S MAIN ST",
            "city": "ANNAWAN",
            "state": "IL",
            "postal_code": "612347704",
            "telephone_number": "309-935-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MAIN ST",
            "city": "ANNAWAN",
            "state": "IL",
            "postal_code": "612347704",
            "telephone_number": "309-935-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAWAN-ALBA FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "HULTING",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "309-935-6384"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Anderson, DNP, APN, FNP-BC, AT
• Annawan Community Unit 226
• Countrywide Smiles P.C.
• Kelli Rae Desplinter, PTA
• Hammond Henry Dist Hospital (Hammond Henry Annawan Clinic)
• Iowa Physicians Clinic Medical Foundation (Trinity Family Med Assoc Annawan)
• Jeffrey Lynn Lathrop, D.C.

• Land Ambulance in Annawan, IL
• Providers in Annawan, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.