New Milford Fire Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1506544 Issued in IL

Legal business name

NEW MILFORD FIRE AMBULANCE

Practice address

2177 Will James Rd
Rockford, IL 61109-4854

Phone

(815) 235-2353

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Jonathan Ryan Trail

Title

Deputy Chief of EMS

Phone

(815) 874-4880

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1790804144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 WILL JAMES RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611094854",
            "telephone_number": "815-874-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 WILL JAMES RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611094854",
            "telephone_number": "815-235-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MILFORD FIRE AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "TRAIL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "DEPUTY CHIEF OF EMS",
        "authorized_official_telephone_number": "815-874-4880"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "1506544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SHIELD OF IL",
            "identifier": "10170774",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363298101001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "990007591",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekha Neu, MD
• Bradley Edward Neukirch, RPH
• Neurex PLLC
• Neurological Clinic of Rockford SC
• New Chapter Therapy, PLLC
• New Vision of Illinois, LLC
• Furrunnecia Newberry, LCPC
• Veronica Newburn, PA-C
• Isabella Patricia Newcomer, DDS
• Sonja Newton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.