City of Dekalb

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

11318 Issued in IL

Legal business name

CITY OF DEKALB

Practice address

700 Pine St
Dekalb, IL 60115-3438

Phone

(815) 748-8460

Fax

(815) 748-8497

NPI assigned

Feb 9, 2006

Last updated

Jun 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bruce V Harrison

Title

Fire Chief

Phone

(815) 748-8460

Specialties & licenses 1

Addresses

Other names 1

• DeKalb Fire Department Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1962475988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900457",
            "telephone_number": "847-577-8811",
            "fax_number": "847-577-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PINE ST",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153438",
            "telephone_number": "815-748-8460",
            "fax_number": "815-748-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DEKALB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-748-8460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "11318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeKalb Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chilaboratoryllc
• Ikechukwu I Chineme
• Jerry Allan Christensen, D.C.
• Kristin M Christian, P.T.
• Stacy J Circelli, APRN, CNP
• Tiffany I Clash-Shaw
• Brandon T Clement, P.T.
• Michelle L Cofoid, RBT
• Samantha Collin
• Trenaye Collins

• Land Ambulance in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.