Active NPI
Pawnee Fire Protection Dist
- Land Ambulance
- Pawnee, IL
National Provider Identifier
1811001050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3 3637
- 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
- Last updated
- Feb 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marybeth Jenkins
- Title
- Treasurer
- Phone
- (217) 625-3131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3 3637 | IL | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130304000071 | IL | Part B Supplier - Ambulance Service Supplier | 0042465734 | Practice locations: Pawnee, IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360108800000",
"number": "1811001050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 8TH ST",
"address_2": "P O BOX 922",
"city": "PAWNEE",
"state": "IL",
"postal_code": "625580922",
"telephone_number": "217-625-7018",
"fax_number": "217-625-8241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 8TH ST",
"city": "PAWNEE",
"state": "IL",
"postal_code": "625580922",
"telephone_number": "217-625-7018",
"fax_number": "217-625-8241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAWNEE FIRE PROTECTION DIST",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2013-02-06",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "MARYBETH",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "217-625-3131"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "3 3637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.