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AMBOY FIRE PROTECTION DISTRICT NPI 1508992439


NPI Information

NPI: 1508992439
Provider Name: AMBOY FIRE PROTECTION DISTRICT
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 14D2222320

Address:
25 N EAST AVE
AMBOY, IL
ZIP 61310
Phone: (815) 857-2325
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AMBOY FIRE PROTECTION DISTRICT is a land transport ambulance in Amboy, IL. AMBOY FIRE PROTECTION DISTRICT NPI is 1508992439. The provider is registered as an organization entity type.

The provider's business location address is:

25 N EAST AVE
AMBOY, IL
ZIP 61310-330
Phone: (815) 857-2325
Fax: (815) 857-2066

The provider's authorized official is Jeff Bryant .
The authorized official title is Fire Chief and has the following contact phone number (815) 857-2325.

The CLIA number assigned to this NPI record is 14D2222320 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 9/9/2015.


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
13416L0300XAmbulanceLand Transport151883ILLINOISYes

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
1590028249OTHERILLINOISRAILROAD MEDICARE
2208930MEDICARE NSCILLINOIS
3=========MEDICAIDILLINOIS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.