NPIMap

Organization Active NPI

Tampico Fire Protection District

  • Ambulance
  • Tampico, IL
National Provider Identifier
1629142138
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
138302 Issued in IL
Legal business name
TAMPICO FIRE PROTECTION DISTRICT
Practice address
105 N. Main St
Tampico, IL 61283
Phone
(815) 438-2082
Fax
(815) 438-2082
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Sherry Fetrow
Title
Co-Coordinator
Phone
(815) 438-2082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 138302 IL Primary

Addresses

Primary practice location

105 N. Main St
Tampico, IL 61283

Mailing address

PO Box 471
105 N Main St
Tampico, IL 61283-0471
Phone (815) 438-2082

Other identifiers 1

IdentifierTypeStateIssuer
9832004OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • tampico ambulance service Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1629142138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471",
            "address_2": "105 N MAIN ST",
            "city": "TAMPICO",
            "state": "IL",
            "postal_code": "612830471",
            "telephone_number": "815-438-2082",
            "fax_number": "815-438-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N. MAIN ST",
            "city": "TAMPICO",
            "state": "IL",
            "postal_code": "61283",
            "telephone_number": "815-438-2082",
            "fax_number": "815-438-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPICO FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "FETROW",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "CO-COORDINATOR",
        "authorized_official_telephone_number": "815-438-2082"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "138302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9832004",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "tampico ambulance service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.