Active NPI
Sugar Creek Emergency Services District
- Land Ambulance
- Trenton, IL
National Provider Identifier
1861474405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 4 4014
- Legal business name
- SUGAR CREEK EMERGENCY SERVICES DISTRICT
- Practice address
- 119 W Indiana St
Trenton, IL 62293-1318 - Phone
- (618) 224-9121
- Fax
- (618) 224-7296
- NPI assigned
- Nov 18, 2005
- 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
- Jim Kniepman
- Title
- Operations Manager
- Phone
- (618) 224-9121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 4 4014 | IL | Primary |
Addresses
Primary practice location
119 W Indiana St
Trenton, IL 62293-1318
Mailing address
119 W Indiana St
P.O. Box 1022
Trenton, IL 62293-1318
Phone (618) 224-9121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111214001031 | IL | Part B Supplier - Ambulance Service Supplier | 0042485302 | Practice locations: Trenton, IL |
| O20250918003082 | IL | Part B Supplier - Ambulance Service Supplier | 9436653763 | Practice locations: Trenton, IL |
National Provider Directory
National Provider DirectoryLocations
119 W Indiana St
Trenton, IL 62293
Phone (618) 224-9121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755043200000",
"number": "1861474405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 W INDIANA ST",
"address_2": "P.O. BOX 1022",
"city": "TRENTON",
"state": "IL",
"postal_code": "622931318",
"telephone_number": "618-224-9121",
"fax_number": "618-224-7296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W INDIANA ST",
"city": "TRENTON",
"state": "IL",
"postal_code": "622931318",
"telephone_number": "618-224-9121",
"fax_number": "618-224-7296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUGAR CREEK EMERGENCY SERVICES DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-18",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A",
"authorized_official_last_name": "KNIEPMAN",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "618-224-9121"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "4 4014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, IL
- Nancy Lynn Schubert-Henss, RPH
- St Josephs Hospital Breese of the Hospital Sisters of the Third Orde (Clinton County Rural Health Trenton)
- Steven J. Stone, DDS
- Steven J. Stone, D.D.S.
- Angela Sudholt, TAYLOR
- The Residential Developers, Inc.
- Dana Leigh Trame, FNP
- Trenton Chiropractic Clinic LTD
- Trenton Eye Care, PLLC
- Jennifer Lynn Wallenberg, PT, DPT, PCS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.