NPIMap

Organization Active NPI

Lanark Fire Protection District

  • Ambulance
  • Lanark, IL
National Provider Identifier
1659527547
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
01 1029 Issued in IL
Legal business name
LANARK FIRE PROTECTION DISTRICT
Practice address
103 W. Carroll
Lanark, IL 61046
Phone
(815) 493-2431
Fax
(815) 493-2330
NPI assigned
Aug 12, 2008
Last updated
Apr 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Connie Knutti
Title
District President
Phone
(815) 493-2695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 01 1029 IL Primary

Addresses

Primary practice location

103 W. Carroll
Lanark, IL 61046

Mailing address

PO Box 260
Mendota, IL 61342-0260
Phone (815) 539-2468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081002000289 IL Part B Supplier - Ambulance Service Supplier 3476621582 Practice locations: Lanark, IL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1659527547",
    "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": "103 W. CARROLL",
            "city": "LANARK",
            "state": "IL",
            "postal_code": "61046",
            "telephone_number": "815-493-2431",
            "fax_number": "815-493-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANARK FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "KNUTTI",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "DISTRICT PRESIDENT",
        "authorized_official_telephone_number": "815-493-2695"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "01 1029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanark, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.