Tonica Volunteer Fire Dept

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

22550 Issued in IL

Legal business name

TONICA VOLUNTEER FIRE DEPT

Doing business as

Tonica Volunteer Fire Dept And Ambulance Service

Practice address

507 N First Street
Tonica, IL 61370-9456

Phone

(815) 442-3527

Fax

(815) 442-3527

NPI assigned

Mar 2, 2007

Last updated

Aug 22, 2020By 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

Sue Huss

Title

Ambulance Director

Phone

(815) 442-3527

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tonica Volunteer Fire Dept And Ambulance Service Doing business as

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346379989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N FIRST STREET",
            "city": "TONICA",
            "state": "IL",
            "postal_code": "613709456",
            "telephone_number": "815-442-3527",
            "fax_number": "815-442-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N FIRST STREET",
            "city": "TONICA",
            "state": "IL",
            "postal_code": "613709456",
            "telephone_number": "815-442-3527",
            "fax_number": "815-442-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONICA VOLUNTEER FIRE DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUSS",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "AMBULANCE DIRECTOR",
        "authorized_official_telephone_number": "815-442-3527"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "22550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05032035",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tonica Volunteer Fire Dept And Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawn Edward Sydlowski, DR
• Tonica Comm Cons SCH Dist 79

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.