NPIMap

Organization Active NPI

Bluegrass Fire Protection District

  • Ambulance
  • Potomac, IL
National Provider Identifier
1992883953
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 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
Last updated
Sep 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Mr. Randy H Niver, EMT
Title
EMS Coordinator
Phone
(217) 987-6560

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 006764 IL
Ambulance 341600000X IL Primary

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

National Provider Directory

National Provider Directory

Locations

125 Logan St
Potomac, IL 61865
Phone (217) 987-6560

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1992883953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 260",
            "city": "POTOMAC",
            "state": "IL",
            "postal_code": "618650260",
            "telephone_number": "217-987-6560",
            "fax_number": "855-243-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N LOGAN ST.",
            "city": "POTOMAC",
            "state": "IL",
            "postal_code": "618650260",
            "telephone_number": "217-987-6560",
            "fax_number": "855-243-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "NIVER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "217-987-6560",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "006764",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.