NPIMap

Organization Active NPI

Bismarck Community Fire Protection District

Doing business as Bismark Community FPD

  • Land Ambulance
  • Bismarck, IL
National Provider Identifier
1659773240
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
06-6693 Issued in IL
Legal business name
BISMARCK COMMUNITY FIRE PROTECTION DISTRICT
Doing business as
Bismark Community FPD
Practice address
17384 E 2750 N Rd
Bismarck, IL 61814-0000
Phone
(217) 759-7373
NPI assigned
Sep 25, 2014
Last updated
Sep 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Eric Johnson
Title
EMS Chief
Phone
(217) 759-7373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 06-6693 IL Primary

Addresses

Primary practice location

17384 E 2750 N Rd
Bismarck, IL 61814-0000

Mailing address

PO Box 641880
Omaha, NE 68164-7880
Phone (402) 572-4019

Other names 1

  • Bismark Community FPD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150129001414 IL Part B Supplier - Ambulance Service Supplier 4183948870 Practice locations: Alvin, IL; Bismarck, IL; Danville, IL; Henning, IL

National Provider Directory

National Provider Directory

Locations

17384 E 2750 North Rd
Bismarck, IL 61814
Phone (217) 759-7373

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1659773240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-572-4019",
            "fax_number": "402-991-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17384 E 2750 N RD",
            "city": "BISMARCK",
            "state": "IL",
            "postal_code": "618140000",
            "telephone_number": "217-759-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISMARCK COMMUNITY FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "217-759-7373"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "06-6693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bismark Community FPD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bismarck, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.