Organization Active NPI

City of Dixon

  • Land Ambulance
  • Dixon, IL
National Provider Identifier
1871643551
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1 1002 Issued in IL
Legal business name
CITY OF DIXON
Practice address
210 S Hennepin Ave
Dixon, IL 61021-3042
Phone
(815) 288-3323
Fax
(815) 288-2225
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Ryan Buskohl
Title
Fire Chief
Phone
(815) 288-4337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1 1002 IL Primary

Addresses

Primary practice location

210 S Hennepin Ave
Dixon, IL 61021-3042

Mailing address

PO Box 1368
Elmhurst, IL 60126-8368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070430000096 IL Part B Supplier - Ambulance Service Supplier 4688770159 Practice locations: Dixon, IL

National Provider Directory

National Provider Directory

Locations

210 S Hennepin Ave
Dixon, IL 61021
Phone (815) 288-3323

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1871643551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1368",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601268368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S HENNEPIN AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213042",
            "telephone_number": "815-288-3323",
            "fax_number": "815-288-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DIXON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "BUSKOHL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-288-4337"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "1 1002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.