Harlem Roscoe Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

HARLEM ROSCOE FIRE PROTECTION DISTRICT

Practice address

10544 Main St
Roscoe, IL 61073-8829

Phone

(815) 623-7867

Fax

(815) 623-8831

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Donald Shoevlin

Title

Chief

Phone

(815) 623-7867

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Harlem Roscoe Ambulance Service Other name

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1518087436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10544 MAIN ST",
            "address_2": "PO BOX 450",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610730450",
            "telephone_number": "815-623-7867",
            "fax_number": "815-623-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10544 MAIN ST",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610738829",
            "telephone_number": "815-623-7867",
            "fax_number": "815-623-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLEM ROSCOE FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "SHOEVLIN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "815-623-7867"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "381320",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harlem Roscoe Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.