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NORTH BOONE FIRE DISTRICT 3 NPI 1164810255


NPI Information

NPI: 1164810255
Provider Name: NORTH BOONE FIRE DISTRICT 3
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 14D2215025

Address:
305 W GROVE ST
POPLAR GROVE, IL
ZIP 61065
Phone: (815) 765-3366
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NORTH BOONE FIRE DISTRICT 3 is an ambulance in Poplar Grove, IL. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). NORTH BOONE FIRE DISTRICT 3 NPI is 1164810255. The provider is registered as an organization entity type.

The provider's business location address is:

305 W GROVE ST
POPLAR GROVE, IL
ZIP 61065-040
Phone: (815) 765-3366
Fax: (815) 765-9196

The provider's authorized official is Josephine Madigan Ostler .
The authorized official title is Ems Coordinator and has the following contact phone number (815) 765-3366.

The CLIA number assigned to this NPI record is 14D2215025 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/26/2014 and was last updated on 7/7/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1341600000XAmbulance10 1040ILLINOISYes

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.