Georgetown Fire Protection District Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GEORGETOWN FIRE PROTECTION DISTRICT AMBULANCE SERVICE

Practice address

211 S Main St
Georgetown, IL 61846-1855

Phone

(217) 662-2701

Fax

(217) 662-2591

NPI assigned

Jan 11, 2007

Last updated

Aug 28, 2024By 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

Mrs. Megan Berry

Title

Billing Clerk

Phone

(217) 662-2701

Specialties & licenses 1

Addresses

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1750431979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S MAIN ST",
            "city": "GEORGETOWN",
            "state": "IL",
            "postal_code": "618461855",
            "telephone_number": "217-662-2701",
            "fax_number": "217-662-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S MAIN ST",
            "city": "GEORGETOWN",
            "state": "IL",
            "postal_code": "618461855",
            "telephone_number": "217-662-2701",
            "fax_number": "217-662-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN FIRE PROTECTION DISTRICT AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "217-662-2701",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Practice Medical Center LTD
• Marcy Fegett, R.N.
• Fusion of Wellness: Body, Mind, and Soul, LLC.
• Georgetown Ridge Farm 4
• Laura E Melecosky-Zachman
• Kimberly Payne
• Sasha Pierce, LPN
• Isaiah Matthew Reeves, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.