NPIMap

Organization Active NPI

Reddick Comm Fire Prot Dist

  • Land Ambulance
  • Reddick, IL
National Provider Identifier
1740223528
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
7959 Issued in IL
Legal business name
REDDICK COMM FIRE PROT DIST
Practice address
2958 S 19000W Rd
Reddick, IL 60961-8054
Phone
(815) 365-2284
Fax
(815) 365-4212
NPI assigned
Jun 13, 2006
Last updated
Sep 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
James Perry
Title
Fire Chief
Phone
(815) 365-2284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 7959 IL Primary

Addresses

Primary practice location

2958 S 19000W Rd
Reddick, IL 60961-8054

Mailing address

PO Box 457
Wheeling, IL 60090-0457
Phone (847) 577-8811

Other identifiers 2

IdentifierTypeStateIssuer
4627014OtherILBCBS
590013645OtherILRR MEDICARE

National Provider Directory

National Provider Directory

Locations

35 E Willow St
Ste B
Coal City, IL 60416

210 E Main St
Reddick, IL 60961
Phone (815) 922-0062

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1740223528",
    "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": "2958 S 19000W RD",
            "city": "REDDICK",
            "state": "IL",
            "postal_code": "609618054",
            "telephone_number": "815-365-2284",
            "fax_number": "815-365-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDICK COMM FIRE PROT DIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-365-2284"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "7959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4627014",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590013645",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reddick, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.