Active NPI
City of Kankakee
- Land Ambulance
- Kankakee, IL
National Provider Identifier
1366453581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF KANKAKEE
- Practice address
- 385 E Oak St
Kankakee, IL 60901-3924 - Phone
- (815) 933-0450
- NPI assigned
- Aug 11, 2006
- Last updated
- Sep 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bryan Laroche
- Title
- Chief
- Phone
- (815) 933-0458
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | IL | ||
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
385 E Oak St
Kankakee, IL 60901-3924
Mailing address
385 E Oak St
Kankakee, IL 60901-3924
Phone (815) 933-0458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04670555 | Other | IL | BLUE CROSS BLUE SHIELD |
Other names 1
- Kankakee Fire Dept
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090122000558 | IL | Part B Supplier - Ambulance Service Supplier | 4183788995 | Practice locations: Kankakee, IL |
National Provider Directory
National Provider DirectoryLocations
200 W Water St
Kankakee, IL 60901
Phone (815) 933-0450
304 S Indiana Ave
Kankakee, IL 60901
Phone (815) 933-0458
385 E Oak St
Kankakee, IL 60901
Phone (815) 933-0450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1366453581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 E OAK ST",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609013924",
"telephone_number": "815-933-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 E OAK ST",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609013924",
"telephone_number": "815-933-0450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF KANKAKEE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-11",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "LAROCHE",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "815-933-0458",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "04670555",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kankakee Fire Dept",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Kankakee Fire Dept",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kankakee, IL
- Elizabeth Ann Christian
- Christina L Anderson MPT Inc (A Bright Start Pediatric Therapy)
- Lambros C Chrones, MD
- Manshant Chugh, DO
- Citadel Care Center-Kankakee, LLC (Citadel Care Center-Kankakee)
- Akesha Chemein Clark-Roberts, CNA
- Ashley Noel Joyles Clark, MD
- Emily Claire Clyden, MHS, CCC-SLP/L
- Caitlyn Coburn, CRNA
- Karen J. Cohs-Murray, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.