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PEORIA FIRE DEPARTMENT NPI 1427728682


NPI Information

NPI: 1427728682
Provider Name: PEORIA FIRE DEPARTMENT
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

CLIA Number: 14D2236351

Address:
505 NE MONROE
PEORIA, IL
ZIP 61603
Phone: (309) 494-8794
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PEORIA FIRE DEPARTMENT is an emergency medical services emergency medicine in Peoria, IL. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. PEORIA FIRE DEPARTMENT NPI is 1427728682. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

505 NE MONROE
PEORIA, IL
ZIP 61603
Phone: (309) 494-8794

The provider's authorized official is Roland Tenley .
The authorized official title is Battalion Chief Of Ems and has the following contact phone number (309) 494-8794.

The CLIA number assigned to this NPI record is 14D2236351 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2021 and was last updated on 9/17/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207PE0004XEmergency MedicineEmergency Medical ServicesYes

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: 11/14/2023

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