Active NPI
Washington Volunteer Fire Department and Rescue Squad Inc
- Land Ambulance
- Washington, IL
National Provider Identifier
1376576918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2586
- Legal business name
- WASHINGTON VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC
- Practice address
- 200 N Wilmore Rd
Washington, IL 61571-1249 - Phone
- (309) 444-8642
- Fax
- (309) 444-7421
- NPI assigned
- Jul 8, 2006
- 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
- Sarah Hofstetter
- Title
- Billing
- Phone
- (309) 444-8152
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | 2586 | IL | Primary |
Addresses
Primary practice location
200 N Wilmore Rd
Washington, IL 61571-1249
Mailing address
PO Box 322
Washington, IL 61571-0322
Phone (309) 444-2511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590001335 | Other | IL | RR MEDICARE |
| 9090008 | Other | IL | BCBS |
Other names 1
- Washington Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041015000735 | IL | Part B Supplier - Ambulance Service Supplier | 4880654607 | Practice locations: Washington, IL |
National Provider Directory
National Provider DirectoryLocations
200 N Wilmor Rd
Washington, IL 61571
Phone (309) 444-8152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657670400000",
"number": "1376576918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 322",
"city": "WASHINGTON",
"state": "IL",
"postal_code": "615710322",
"telephone_number": "309-444-2511",
"fax_number": "309-444-9532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N WILMORE RD",
"city": "WASHINGTON",
"state": "IL",
"postal_code": "615711249",
"telephone_number": "309-444-8642",
"fax_number": "309-444-7421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHINGTON VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A",
"authorized_official_last_name": "HOFSTETTER",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "309-444-8152"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "2586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590001335",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "9090008",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Washington Fire Department",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Washington Fire Department",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Washington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.