Bluegrass Fire Protection District
Organization Active NPI Ambulance · Potomac, IL
NPI 1992883953 · NPPES record last updated Sep 9, 2015
Key facts
- NPI
- 1992883953
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- BLUEGRASS FIRE PROTECTION DISTRICT
- Practice address
- 125 N Logan St.
Potomac, IL 61865-0260 - Phone
- (217) 987-6560
- Fax
- (855) 243-5633
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Randy H Niver, EMT
- Title
- EMS Coordinator
- Phone
- (217) 987-6560
National Provider Directory
Locations
125 Logan St
Potomac, IL 61865
Phone (217) 987-6560
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 006764 | IL | |
| Ambulance | 341600000X | IL | Yes |
Addresses
Primary practice location
125 N Logan St.
Potomac, IL 61865-0260
Mailing address
P.O. Box 260
Potomac, IL 61865-0260
Phone (217) 987-6560
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37600239001 | Medicaid | IL | |
| 590014094 | Other | RR MEDICARE | |
| 09270870 | Other | BLUE CROSS |
Other providers in Potomac, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.