Pilot Fire Protection District Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7252 Issued in IL

Legal business name

PILOT FIRE PROTECTION DISTRICT AMBULANCE SERVICE

Practice address

100 North Main Street
Herscher, IL 60941

Phone

(815) 426-2143

Fax

(815) 426-2168

NPI assigned

Jun 23, 2006

Last updated

May 19, 2008By 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

Dennis Schwark

Title

Finance Treasurer

Phone

(815) 426-6241

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1699701763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900457",
            "telephone_number": "847-577-8811",
            "fax_number": "847-577-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTH MAIN STREET",
            "city": "HERSCHER",
            "state": "IL",
            "postal_code": "60941",
            "telephone_number": "815-426-2143",
            "fax_number": "815-426-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILOT FIRE PROTECTION DISTRICT AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "SCHWARK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "FINANCE TREASURER",
        "authorized_official_telephone_number": "815-426-6241"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "7252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4670571",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00056044",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana M Masching, PHYSICAL THERAPIST
• Medical Group of Kankakee County
• Kayla Offermann
• Marissa Pasqualetti, PHARMD
• Kristy Patterson, PA
• Amy E Wenzelman
• Hashim Raza Zaidi, M.D.

• Land Ambulance in Herscher, IL
• Providers in Herscher, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.