Amboy Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

151883 Issued in IL

Legal business name

AMBOY FIRE PROTECTION DISTRICT

Practice address

25 N East Ave
Amboy, IL 61310-1330

Phone

(815) 857-2325

Fax

(815) 857-2066

NPI assigned

Feb 26, 2007

Last updated

Sep 9, 2015By 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

Mr. Jeff Bryant I

Title

Fire Chief

Phone

(815) 857-2325

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1508992439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260",
            "city": "MENDOTA",
            "state": "IL",
            "postal_code": "613420260",
            "telephone_number": "815-539-2468",
            "fax_number": "815-539-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N EAST AVE",
            "city": "AMBOY",
            "state": "IL",
            "postal_code": "613101330",
            "telephone_number": "815-857-2325",
            "fax_number": "815-857-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBOY FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-857-2325",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "151883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590028249",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amboy Cusd 272
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• Aperion Care Amboy LLC
• Colin Peter Baker, DC
• Amy Anita Blobaum
• Emilee Jo Bocker, M.D.

• Land Ambulance in Amboy, IL
• Providers in Amboy, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.