Winnebago Fire Protection Dist 1
Organization Active NPI Ambulance · Durand, IL
NPI 1831291145 · NPPES record last updated Jun 16, 2016
Key facts
- NPI
- 1831291145
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 1394 (IL)
- Legal business name
- WINNEBAGO FIRE PROTECTION DIST 1
- Practice address
- 115 West Howard St.
Durand, IL 61024 - Phone
- (815) 248-2696
- Fax
- (815) 248-2458
- NPI assigned
- Sep 5, 2006
- Organization subpart
- No
Authorized official
- Name
- H. Duane Kinney
- Title
- Board President
- Phone
- (815) 248-2511
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120229000707 | IL | Part B Supplier - Ambulance Service Supplier | 5294993713 | Practice locations: Durand, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1394 | IL | Yes |
Addresses
Primary practice location
115 West Howard St.
Durand, IL 61024
Mailing address
115 W. Howard St.
Durand, IL 61024
Phone (815) 248-2696
Other providers in Durand, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2016. 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.