Coal City Fire Protection District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

77111 Issued in IL

Legal business name

COAL CITY FIRE PROTECTION DISTRICT

Practice address

35 S de Witt PL
Coal City, IL 60416-1537

Phone

(815) 634-4700

NPI assigned

Nov 17, 2006

Last updated

Apr 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Harold Holsinger

Title

Fire Chief

Phone

(815) 634-4700

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1679647242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "address_2": "35 S DEWITT ST",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604160219",
            "telephone_number": "815-634-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S DE WITT PL",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604161537",
            "telephone_number": "815-634-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAL CITY FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "HOLSINGER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-634-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "77111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3232006",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD MEDICARE",
            "identifier": "P00154114",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Caponi, LCPC
• Caricare Mobile Medical LLC
• Jennifer Wai-Ling Chu, O.D.
• Coal City Cu School Dist 1
• Coal City Dental Center
• Coal City Pharmacy
• Daniel Jurak D O S C
• Brittany Eikey, LPC
• Encounter Health, PLLC (Encounter Health)
• Existential Counselor Societ LTD.

• Ambulance in Coal City, IL
• Providers in Coal City, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.