Pawnee Fire Protection Dist
Organization Active NPI Land Ambulance · Pawnee, IL
NPI 1811001050 · NPPES record last updated Feb 6, 2013
Key facts
- NPI
- 1811001050
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 3 3637 (IL)
- Legal business name
- PAWNEE FIRE PROTECTION DIST
- Practice address
- 711 8TH St
Pawnee, IL 62558-0922 - Phone
- (217) 625-7018
- Fax
- (217) 625-8241
- NPI assigned
- Aug 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Marybeth Jenkins
- Title
- Treasurer
- Phone
- (217) 625-3131
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130304000071 | IL | Part B Supplier - Ambulance Service Supplier | 0042465734 | Practice locations: Pawnee, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3 3637 | IL | Yes |
Addresses
Primary practice location
711 8TH St
Pawnee, IL 62558-0922
Mailing address
711 8TH St
P O Box 922
Pawnee, IL 62558-0922
Phone (217) 625-7018
Other providers in Pawnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.