NPIMap

Organization Active NPI

Village of Farina Fayette County

  • Land Ambulance
  • Farina, IL
National Provider Identifier
1407893787
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
5209 Issued in IL
Legal business name
VILLAGE OF FARINA FAYETTE COUNTY
Practice address
106 S Oak St
Farina, IL 62838-1282
Phone
(618) 245-2201
Fax
(618) 245-6531
NPI assigned
Jun 2, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Patsy Thomas
Title
Village Clerk
Phone
(618) 245-2201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 5209 IL Primary

Addresses

Primary practice location

106 S Oak St
Farina, IL 62838-1282

Mailing address

PO Box 457
Wheeling, IL 60090-0457
Phone (847) 577-8811

Other identifiers 1

IdentifierTypeStateIssuer
2632011OtherILBCBS

Other names 1

  • Village of Farina Other name

National Provider Directory

National Provider Directory

Locations

106 S Oak St
Farina, IL 62838
Phone (618) 245-2201

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1407893787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900457",
            "telephone_number": "847-577-8811",
            "fax_number": "847-577-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S OAK ST",
            "city": "FARINA",
            "state": "IL",
            "postal_code": "628381282",
            "telephone_number": "618-245-2201",
            "fax_number": "618-245-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF FARINA FAYETTE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PATSY",
        "authorized_official_title_or_position": "VILLAGE CLERK",
        "authorized_official_telephone_number": "618-245-2201"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "5209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2632011",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village of Farina",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Farina, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.