Roanoke Fire Protection District

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

ROANOKE FIRE PROTECTION DISTRICT

Practice address

108 W Broad St
Roanoke, IL 61561-7549

Phone

(309) 923-3661

NPI assigned

Jan 3, 2022

Last updated

Jan 3, 2022By 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

Mrs. Jennifer K Crumrine

Title

Payroll/Billing Clerk

Phone

(309) 923-3661

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1386305290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748",
            "city": "ROANOKE",
            "state": "IL",
            "postal_code": "615610748",
            "telephone_number": "309-923-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W BROAD ST",
            "city": "ROANOKE",
            "state": "IL",
            "postal_code": "615617549",
            "telephone_number": "309-923-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "CRUMRINE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PAYROLL/BILLING CLERK",
        "authorized_official_telephone_number": "309-923-3661",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie K Mangun, PA-C
• Michael D. Meier, DMD
• Jodi Renee Meyer, M.S., CCC-SLP/L
• Alyssa Morris, FNP-BC
• Roanoke Benson Cus Dist 60
• Roanoke RX LLC (Axline Pharmacy 03)
• Marsha Alexandra Rodriguez, APRN
• Saint James Hospital (OSF Healthcare - Medical Group - Roanoke)
• Michelle M Stephens, APN
• Brad A. Stoecker, MD

• Ambulance in Roanoke, IL
• Providers in Roanoke, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.