Capron Rescue Squad District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

011025 Issued in IL

Legal business name

CAPRON RESCUE SQUAD DISTRICT

Practice address

105 W Main St
Capron, IL 61012-7718

Phone

(815) 943-2402

NPI assigned

Mar 25, 2009

Organization subpart

No

Name

Tony Stepansky

Title

Assistant Chief

Phone

(815) 569-2818

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Capron Rescue Squad District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Capron Rescue Squad District

  • Ambulance
  • Capron, IL
  • NPI 1689841967
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 10, 2010.

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1679715411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 422",
            "city": "CAPRON",
            "state": "IL",
            "postal_code": "610120422",
            "telephone_number": "815-569-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W MAIN ST",
            "city": "CAPRON",
            "state": "IL",
            "postal_code": "610127718",
            "telephone_number": "815-943-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPRON RESCUE SQUAD DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "STEPANSKY",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "815-569-2818"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "011025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capron Rescue Squad District
• Charles Anton Koura, PHARMD
• Erica Smith

• All providers in Capron, IL
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.