Milledgeville Fire Protection District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1 1023 Issued in IL

Legal business name

MILLEDGEVILLE FIRE PROTECTION DISTRICT

Doing business as

Milledgeville Fire Protection District

Practice address

14 West 4TH Street
Milledgeville, IL 61051-0153

Phone

(815) 225-7212

Fax

(815) 225-7668

NPI assigned

Aug 28, 2006

Last updated

Apr 20, 2008By 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 Folk

Title

Chief

Phone

(815) 225-7887

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Milledgeville Fire Protection District Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1538277793",
    "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": "14 WEST 4TH STREET",
            "city": "MILLEDGEVILLE",
            "state": "IL",
            "postal_code": "610510153",
            "telephone_number": "815-225-7212",
            "fax_number": "815-225-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLEDGEVILLE FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FOLK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "815-225-7887"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "1 1023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00092085",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "0832004",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milledgeville Fire Protection District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• 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.
• 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.