Active NPI
Sublette Fire Protection District
- Ambulance
- Sublette, IL
National Provider Identifier
1598873507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1 1346
- Legal business name
- SUBLETTE FIRE PROTECTION DISTRICT
- Doing business as
- Sublette Fire Protection District
- Practice address
- 201 N. Richmond
Sublette, IL 61367 - Phone
- (815) 849-5512
- Fax
- (815) 849-9034
- NPI assigned
- Aug 29, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doug Erbes
- Title
- Chief
- Phone
- (815) 849-5512
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1 1346 | IL | Primary |
Addresses
Primary practice location
201 N. Richmond
Sublette, IL 61367
Mailing address
PO Box 260
Mendota, IL 61342-0260
Phone (815) 539-2468
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005220939 | Other | IL | BLUE CROSS BLUE SHIELD |
Other names 1
- Sublette Fire Protection District
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120327000919 | IL | Part B Supplier - Ambulance Service Supplier | 9335309426 | Practice locations: Sublette, IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1598873507",
"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": "201 N. RICHMOND",
"city": "SUBLETTE",
"state": "IL",
"postal_code": "61367",
"telephone_number": "815-849-5512",
"fax_number": "815-849-9034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUBLETTE FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ERBES",
"authorized_official_first_name": "DOUG",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "815-849-5512"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IL",
"license": "1 1346",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0005220939",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sublette Fire Protection District",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sublette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.