Active NPI
Geneseo Fire Protection District
- Land Ambulance
- Geneseo, IL
National Provider Identifier
1962452078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 254101
- Legal business name
- GENESEO FIRE PROTECTION DISTRICT
- Practice address
- 209 S Oakwood Ave
Geneseo, IL 61254-1443 - Phone
- (309) 944-5544
- Fax
- (309) 944-0250
- NPI assigned
- May 11, 2006
- Last updated
- Dec 14, 2021
- 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
- Mr. Tom Curnyn
- Title
- President
- Phone
- (309) 944-5544
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 254101 | IL | Primary |
Addresses
Primary practice location
209 S Oakwood Ave
Geneseo, IL 61254-1443
Mailing address
209 S Oakwood Ave
Geneseo, IL 61254-1443
Phone (309) 944-5544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090105000354 | IL | Part B Supplier - Ambulance Service Supplier | 8921160714 | Practice locations: Geneseo, IL |
National Provider Directory
National Provider DirectoryLocations
200 S State St
Geneseo, IL 61254
Phone (309) 944-5544
209 S Oakwood Ave
Geneseo, IL 61254
Phone (309) 944-5544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639440000000",
"number": "1962452078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 S OAKWOOD AVE",
"city": "GENESEO",
"state": "IL",
"postal_code": "612541443",
"telephone_number": "309-944-5544",
"fax_number": "309-944-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 S OAKWOOD AVE",
"city": "GENESEO",
"state": "IL",
"postal_code": "612541443",
"telephone_number": "309-944-5544",
"fax_number": "309-944-0250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESEO FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A",
"authorized_official_last_name": "CURNYN",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "309-944-5544",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "254101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Geneseo, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.