Nauvoo Fire Protection District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3646 Issued in IL

Legal business name

NAUVOO FIRE PROTECTION DISTRICT

Practice address

2015 Mulholland St
Nauvoo, IL 62354

Phone

(217) 453-6622

Fax

(217) 453-6622

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Victoria Lynn Gallaher, EMT-PARAMEDIC

Title

EMS Coordinator

Phone

(309) 255-0422

Specialties & licenses 1

Addresses

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": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1821272618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 283",
            "city": "NAUVOO",
            "state": "IL",
            "postal_code": "623540283",
            "telephone_number": "217-453-6622",
            "fax_number": "217-453-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MULHOLLAND ST",
            "city": "NAUVOO",
            "state": "IL",
            "postal_code": "62354",
            "telephone_number": "217-453-6622",
            "fax_number": "217-453-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUVOO FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "GALLAHER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "309-255-0422",
        "authorized_official_credential": "EMT-PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "3646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Kelly, PHD
• Memorial Hospital Association (Memorial Medical Clinic Nauvoo)
• Gregory A Miller, MD
• David E. Morgan, D.C.
• Nauvoo Colusa Cus Dist 325
• Nauvoo Health & Chiropractic
• Nauvoo Pharmacy, PLLC
• Nauvoo Pharmacy, PLLC
• Mary Ann Siegworth, SLP
• Anthony William Wasielewski, APRN-BC

• Ambulance in Nauvoo, IL
• Providers in Nauvoo, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.