NPIMap

Organization Active NPI

Hopedale Fire Protection District

  • Land Ambulance
  • Hopedale, IL
National Provider Identifier
1316015704
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
22539 Issued in IL
Legal business name
HOPEDALE FIRE PROTECTION DISTRICT
Practice address
226 NW Main
Hopedale, IL 61747-9478
Phone
(309) 208-3663
Fax
(309) 449-5435
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Ms. Rose Willis
Title
EMS Co-Ordinator
Phone
(309) 208-3663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 22539 IL Primary

Addresses

Primary practice location

226 NW Main
Hopedale, IL 61747-9478

Mailing address

226 NW Main
Hopedale, IL 61747-9478
Phone (309) 449-5435

Other identifiers 1

IdentifierTypeStateIssuer
009032125OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1316015704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 NW MAIN",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617479478",
            "telephone_number": "309-449-5435",
            "fax_number": "309-449-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 NW MAIN",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617479478",
            "telephone_number": "309-208-3663",
            "fax_number": "309-449-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEDALE FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "EMS CO-ORDINATOR",
        "authorized_official_telephone_number": "309-208-3663",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "22539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "009032125",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopedale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.