Gardner Volunteer Fire Department

Primary specialty

AmbulanceTaxonomy code 341600000X

License

77819 Issued in IL

Legal business name

GARDNER VOLUNTEER FIRE DEPARTMENT

Practice address

206 Depot Street
Gardner, IL 60424

Phone

(815) 237-8806

Fax

(815) 237-0066

NPI assigned

Nov 17, 2006

Last updated

Apr 20, 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

Randy Wilkey

Title

Fire Chief

Phone

(815) 237-8806

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1689748139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E WILLOW ST STE B",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604161869",
            "telephone_number": "815-634-3048",
            "fax_number": "815-634-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 DEPOT STREET",
            "city": "GARDNER",
            "state": "IL",
            "postal_code": "60424",
            "telephone_number": "815-237-8806",
            "fax_number": "815-237-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "WILKEY",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-237-8806"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "77819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00154114",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00154114",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "332002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Lucas Tanner, LLC
• Amanda M Fagan
• Gardner Fire Protection District
• Gardner Pharmacy Inc
• Gardner S Wilmington THS Dist 73
• Jack James, PA-C
• Kelsey Lutz, MA, LPC
• Renee Moore
• Melinda Sue Mounts
• Sharon K. Pickles

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.