GRIDLEY FIRE PROTECTION DISTRICT NPI 1073569786

NPI Information

NPI: 1073569786
Provider Name: GRIDLEY FIRE PROTECTION DISTRICT

Doing Business As: GRIDLEY EMERGENCY MEDICAL SERVICES

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
105 E 3RD ST
GRIDLEY, IL
ZIP 61744
Phone: (309) 747-2699
Get Directions

GRIDLEY FIRE PROTECTION DISTRICT is a land transport ambulance in Gridley, IL. GRIDLEY FIRE PROTECTION DISTRICT NPI is 1073569786. The provider is registered as an organization entity type.
The provider Is Doing Business As Gridley Emergency Medical Services.

The provider's business location address is:

105 E 3RD ST
GRIDLEY, IL
ZIP 61744-725
Phone: (309) 747-2699
Fax: (309) 747-2825

The provider's authorized official is Timothy P Schaefer .
The authorized official title is President and has the following contact phone number (309) 747-3037.

The CLIA number assigned to this NPI record is 14D0862756 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 7/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	650901/650902	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	667340	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	PROVIDER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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