City of Streator Illinois

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF STREATOR ILLINOIS

Practice address

108 N Wasson St
Streator, IL 61364-4011

Phone

(815) 672-2266

NPI assigned

Mar 3, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Gary G Bird

Title

Fire Chief

Phone

(815) 672-2266

Specialties & licenses 1

Addresses

Other names 1

• Streator Fire Department Doing business as

Electronic endpoints 1

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": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1366199044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S BLOOMINGTON ST",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613642996",
            "telephone_number": "815-672-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N WASSON ST",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613644011",
            "telephone_number": "815-672-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF STREATOR ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-672-2266",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "g.bird@streatorfire.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "direct mail",
            "address_1": "108 N Wasson St",
            "city": "Streator",
            "state": "IL",
            "country_code": "US",
            "postal_code": "613644011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Streator Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Streator Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Champion Fitness, Inc
• Kelli Chapman
• Chao-Ming Chen, M.C.
• William Cherveny
• Chetan Choksi, D.O
• Toni Suzanne Cox, M.S. CCC-SLP/L
• Jennifer Currier
• Donald Damron, PT
• Patricia A Duffield, CNP
• Dwight Drugs Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.