Active NPI
City of Dixon
- Land Ambulance
- Dixon, IL
National Provider Identifier
1871643551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1 1002
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070430000096 | IL | Part B Supplier - Ambulance Service Supplier | 4688770159 | Practice locations: Dixon, IL |
National Provider Directory
National Provider DirectoryLocations
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.