City of Kewanee

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

254301 Issued in IL

Legal business name

CITY OF KEWANEE

Practice address

401 E 3Rd St
Kewanee, IL 61443-2365

Phone

(309) 852-2115

NPI assigned

Jan 29, 2007

Last updated

Oct 26, 2021By 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

Mr. Stephen Welgat

Title

Interim Fire Chief

Phone

(309) 761-1030

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1801932991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 3RD ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614432365",
            "telephone_number": "309-852-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 3RD ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614432365",
            "telephone_number": "309-852-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KEWANEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "WELGAT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "INTERIM FIRE CHIEF",
        "authorized_official_telephone_number": "309-761-1030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "254301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "590007000",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE PROVIDER LICENS",
            "identifier": "2543",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Gray Carton, DPT
• Sarah Cebula, LCSW
• Charles C Gerleman D C P C
• Loretta A Christiansen
• Breanne Hope Cinnamon, DPT
• Daniel P. Congreve, M.D.
• Karen Lynn Cooley, DEVELOPMENTAL THERAP
• County of Henry (Henry County Health Department)
• County of Henry
• County of Henry (First Choice Healthcare)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.