Organization Active NPI

Cortland Community Firemans Association

  • Ambulance
  • Cortland, IL
National Provider Identifier
1952688046
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
011429 Issued in IL
Legal business name
CORTLAND COMMUNITY FIREMANS ASSOCIATION
Practice address
30 W North Ave
Cortland, IL 60112
Phone
(815) 756-2545
Fax
(815) 756-7091
NPI assigned
Nov 3, 2011
Last updated
Nov 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Trent A Moser
Title
Fire Chief
Phone
(815) 756-2545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 011429 IL Primary

Addresses

Primary practice location

30 W North Ave
Cortland, IL 60112

Mailing address

30 W North Avenue
Cortland, IL 60112
Phone (815) 756-2545

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1952688046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W NORTH AVENUE",
            "city": "CORTLAND",
            "state": "IL",
            "postal_code": "60112",
            "telephone_number": "815-756-2545",
            "fax_number": "815-756-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W NORTH AVE",
            "city": "CORTLAND",
            "state": "IL",
            "postal_code": "60112",
            "telephone_number": "815-756-2545",
            "fax_number": "815-756-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTLAND COMMUNITY FIREMANS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-756-2545"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "011429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.