City of Collinsville

Primary specialty

AmbulanceTaxonomy code 341600000X

License

4857 Issued in IL

Legal business name

CITY OF COLLINSVILLE

Doing business as

Collinsville Fire Department

Practice address

130 S Clinton St
Collinsville, IL 62234-2726

Phone

(618) 346-5022

Fax

(618) 346-5226

NPI assigned

Jul 11, 2005

Last updated

Jun 16, 2026By 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

Kevin Reis

Title

Fire Chief

Phone

(618) 346-5022

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• COLLINSVILLE FIRE DEPARTMENT Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1497753875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519900",
            "telephone_number": "800-962-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S CLINTON ST",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622342726",
            "telephone_number": "618-346-5022",
            "fax_number": "618-346-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF COLLINSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "REIS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "618-346-5022"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "4857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0006090001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLLINSVILLE FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COLLINSVILLE FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.