Organization Active NPI

Sugar Creek Emergency Services District

  • Land Ambulance
  • Trenton, IL
National Provider Identifier
1861474405
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
4 4014 Issued in IL
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

Updated by the provider on Aug 13, 2025

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)CodeLicenseStatePrimary
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 IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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

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.

Verify at the official NPI Registry.