Organization Active NPI

Allin Township Fire Protection Dist

  • Land Ambulance
  • Stanford, IL
National Provider Identifier
1396064697
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
026525 Issued in IL
Legal business name
ALLIN TOWNSHIP FIRE PROTECTION DIST
Practice address
104 W Main St
Stanford, IL 61774-7540
Phone
(309) 379-2334
Fax
(309) 379-4005
NPI assigned
May 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Mr. Dustin Deterding
Title
EMS Chief
Phone
(309) 261-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 026525 IL Primary

Addresses

Primary practice location

104 W Main St
Stanford, IL 61774-7540

Mailing address

104 W Main St
Stanford, IL 61774-7540
Phone (309) 379-2334

Other names 1

  • Allin Township Fire Protection District Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101203000877 IL Part B Supplier - Ambulance Service Supplier 9335336221 Practice locations: Stanford, IL

National Provider Directory

National Provider Directory
Tax ID family
Allin Township Ambulance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1396064697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W MAIN ST",
            "city": "STANFORD",
            "state": "IL",
            "postal_code": "617747540",
            "telephone_number": "309-379-2334",
            "fax_number": "309-379-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W MAIN ST",
            "city": "STANFORD",
            "state": "IL",
            "postal_code": "617747540",
            "telephone_number": "309-379-2334",
            "fax_number": "309-379-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIN TOWNSHIP FIRE PROTECTION DIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "DETERDING",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "309-261-0101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "026525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allin Township Fire Protection District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stanford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.