Organization Active NPI

Dixon Community Fire Protection District

  • Land Ambulance
  • Dixon, IL
National Provider Identifier
1447277397
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1004 Issued in IL
Legal business name
DIXON COMMUNITY FIRE PROTECTION DISTRICT
Practice address
1020 Palmyra St.
Dixon, IL 61021-1964
Phone
(815) 284-6897
Fax
(815) 288-2700
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Sid H Aurand, FIRE CHIEF
Title
Fire Chief
Phone
(815) 284-6897

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X 1004 IL Primary

Addresses

Primary practice location

1020 Palmyra St.
Dixon, IL 61021-1964

Mailing address

1020 Palmyra St.
Dixon, IL 61021-1964
Phone (815) 284-6897

Other identifiers 2

IdentifierTypeStateIssuer
5215219OtherILBCBS
590003093OtherILRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090513000395 IL Part B Supplier - Ambulance Service Supplier 3678622156 Practice locations: Dixon, IL

National Provider Directory

National Provider Directory

Locations

8110 S Main St
Dixon, IL 61021
Phone (815) 652-4486

1020 Palmyra St
Dixon, IL 61021
Phone (815) 284-6897

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1447277397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 PALMYRA ST.",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211964",
            "telephone_number": "815-284-6897",
            "fax_number": "815-288-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 PALMYRA ST.",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211964",
            "telephone_number": "815-284-6897",
            "fax_number": "815-288-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON COMMUNITY FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "AURAND",
        "authorized_official_first_name": "SID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-284-6897",
        "authorized_official_credential": "FIRE CHIEF"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "1004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5215219",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590003093",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.