Randolph Township Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

022568 Issued in IL

Legal business name

RANDOLPH TOWNSHIP FIRE PROTECTION DISTRICT

Practice address

707 S. Vine St
Heyworth, IL 61745

Phone

(309) 473-2149

NPI assigned

Aug 31, 2018

Last updated

Jul 25, 2024By 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

Randall Richards

Title

Fire Chief

Phone

(309) 838-2062

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1366924888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S BUCHANAN ST",
            "city": "HEYWORTH",
            "state": "IL",
            "postal_code": "617458908",
            "telephone_number": "309-473-2149",
            "fax_number": "309-473-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S. VINE ST",
            "city": "HEYWORTH",
            "state": "IL",
            "postal_code": "61745",
            "telephone_number": "309-473-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH TOWNSHIP FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-31",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "309-838-2062"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "022568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heyworth Ambulance Service
• Laura Michelle Karr, MA, LCPC
• Maas Chiropractic Center Incorporated
• Russell John Maas, D.C.
• Molly Lynn Post, SLP
• Mary Theresa Vandiver
• Kimberly Weber, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.