Long Creek Fire Protection District

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

LONG CREEK FIRE PROTECTION DISTRICT

Practice address

2625 S Mount Zion Rd
Decatur, IL 62521-9760

Phone

(217) 864-2681

NPI assigned

Nov 13, 2024

Organization subpart

No

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

Authorized official

Name

Stephen Robert Webb

Title

Fire Chief

Phone

(217) 864-2681

Specialties & licenses 1

Addresses

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": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1659195840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 S MOUNT ZION RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625219760",
            "telephone_number": "217-864-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 S MOUNT ZION RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625219760",
            "telephone_number": "217-864-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG CREEK FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "217-864-2681"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan T Locke, MD
• Loft Rehabilitation of Decatur LLC
• Loft Rehabilitation of Rock Springs LLC
• Melinda Sue Logan, FNP
• Suzanne E Logan, PTA
• Long Creek Medical LLC
• Danxuan Long, MD
• Elizabeth Long, PHARM.D.
• Hayley Christine Long
• Lotus Waves, LTD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.