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NEW MILFORD FIRE AMBULANCE NPI 1790804144


NPI Information

NPI: 1790804144
Provider Name: NEW MILFORD FIRE AMBULANCE
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
2177 WILL JAMES RD
ROCKFORD, IL
ZIP 61109
Phone: (815) 235-2353
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NEW MILFORD FIRE AMBULANCE is a land transport ambulance in Rockford, IL. NEW MILFORD FIRE AMBULANCE NPI is 1790804144. The provider is registered as an organization entity type.

The provider's business location address is:

2177 WILL JAMES RD
ROCKFORD, IL
ZIP 61109-854
Phone: (815) 235-2353

The provider's authorized official is Jonathan Ryan Trail .
The authorized official title is Deputy Chief Of Ems and has the following contact phone number (815) 874-4880.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 3/1/2018.


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
13416L0300XAmbulanceLand Transport1506544ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1363298101001MEDICAIDILLINOIS
2990007591OTHERILLINOISRAILROAD MEDICARE
310170774OTHERILLINOISBLUE CROSS SHIELD OF IL

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: 4/28/2024

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.