Organization Active NPI

Pawnee Fire Protection Dist

  • Land Ambulance
  • Pawnee, IL
National Provider Identifier
1811001050
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3 3637 Issued in 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
Last updated
Feb 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20130304000071 IL Part B Supplier - Ambulance Service Supplier 0042465734 Practice locations: Pawnee, IL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.