KIRKLAND COMMUNITY FIRE DISTRICT NPI 1679604151

NPI Information

NPI: 1679604151
Provider Name: KIRKLAND COMMUNITY FIRE DISTRICT

Doing Business As: KIRKLAND FIRE & RESCUE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
3891 STATE ROUTE 72
KIRKLAND, IL
ZIP 60146
Phone: (815) 522-4414
Get Directions

KIRKLAND COMMUNITY FIRE DISTRICT is a land transport ambulance in Kirkland, IL. KIRKLAND COMMUNITY FIRE DISTRICT NPI is 1679604151. The provider is registered as an organization entity type.
The provider Is Doing Business As Kirkland Fire & Rescue.

The provider's business location address is:

3891 STATE ROUTE 72
KIRKLAND, IL
ZIP 60146-635
Phone: (815) 522-4414
Fax: (815) 522-4414

The provider's authorized official is Michael Paull Stott .
The authorized official title is Deputy Chief and has the following contact phone number (815) 276-4235.

The CLIA number assigned to this NPI record is 14D0416053 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 8/6/2010.

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	11048	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	01970849	OTHER	ILLINOIS	BLUE CROSS/BLUE SHIELD
2	=========001	MEDICAID	ILLINOIS
3	671620	MEDICARE UPIN	ILLINOIS
4	01970849	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD

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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