Coal Valley Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COAL VALLEY FIRE PROTECTION DISTRICT

Practice address

103 W 18TH Ave
Coal Valley, IL 61240

Phone

(309) 799-5534

Fax

(309) 799-8446

NPI assigned

Jun 30, 2010

Organization subpart

No

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

Authorized official

Name

David E Dunham Jr.

Title

Fire Chief

Phone

(309) 799-5534

Specialties & licenses 1

Addresses

Other names 1

• Coal Valley Fire Protection Dist 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": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1962713495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W 18TH AVE",
            "city": "COAL VALLEY",
            "state": "IL",
            "postal_code": "612409337",
            "telephone_number": "309-799-5534",
            "fax_number": "309-799-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W 18TH AVE",
            "city": "COAL VALLEY",
            "state": "IL",
            "postal_code": "61240",
            "telephone_number": "309-799-5534",
            "fax_number": "309-799-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAL VALLEY FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "309-799-5534",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coal Valley Fire Protection Dist",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daisy Anderson
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• Jessica L Carlson
• Coal Valley Chiropractic Clinic, Inc.
• Katrina Corgan, PTA
• Des Moines Mental Health Center, PLLC
• Karen Ann Dhanens, OTR L
• Shellene Suzanne Fischer, OTR/L
• John Merritt Fisher, APRN

• Land Ambulance in Coal Valley, IL
• Providers in Coal Valley, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.