CITY OF OTTAWA ILLINOIS NPI 1477592798

NPI Information

NPI: 1477592798
Provider Name: CITY OF OTTAWA ILLINOIS

Former Legal Business Name: OTTAWA FIRE DEPARTMENT

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
301 W LAFAYETTE ST
OTTAWA, IL
ZIP 61350
Phone: (815) 434-3785
Get Directions

CITY OF OTTAWA ILLINOIS is a land transport ambulance in Ottawa, IL. CITY OF OTTAWA ILLINOIS NPI is 1477592798. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Ottawa Fire Department.

The provider's business location address is:

301 W LAFAYETTE ST
OTTAWA, IL
ZIP 61350-700
Phone: (815) 434-3785
Fax: (815) 434-3805

The provider's authorized official is Jeff Newbury .
The authorized official title is Fire Chief and has the following contact phone number (815) 434-3785.

The CLIA number assigned to this NPI record is 14D2237419 - other - fire department with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 4/1/2013.

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	2963	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	611185500	OTHER	ILLINOIS	DOL / OWCP
2	=========	OTHER	ILLINOIS	TRICARE NORTH
3	590008306	MEDICARE PIN	ILLINOIS
4	=========001	MEDICAID	ILLINOIS
5	590008306	OTHER	ILLINOIS	RR MEDICARE
6	05032006	OTHER	ILLINOIS	BCBS
7	200690	MEDICARE PIN	ILLINOIS

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

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