CRESCENT-IROQUOIS EMS & AMBULANCE (NPI# 1346475092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346475092 |
| Entity Type | Organization |
| Organization Name | CRESCENT-IROQUOIS EMS & AMBULANCE |
| Practice Address |
110 N Maple Crescent City IL 60928-0055 |
| Mailing Address |
Po Box 457 Wheeling IL 60090-0457 |
| Practice Telephone | 8156832019 |
| Mailing Telephone | 8475778811 |
| Mailing Fax Number | 8475773518 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2013-01-23 |
| Authorized Official Name | JOELLYN PHEIFER (ADMINISTRATOR) |
| Authorized Official Telephone | 8156832019 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
6773 | IL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DEPARTMENT OF LABOR | 614677500 | 01 |
| Street Address |
110 N MAPLE |
| City | CRESCENT CITY |
| State | IL |
| Zip Code | 60928-0055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275620544 | Crescent City Community Unit School District #275 | Local Education Agency (LEA) | 600 South Street, Crescent City, IL 60928 | 2006-10-06 |
| 1770751067 | Crescent Iroquois Cusd 249 | Local Education Agency (LEA) | 600 South Street, Crescent City, IL 60928 | 2008-02-20 |
| 1831224963 | Rodney Earl Yergler | Dentist | 307 A Main Street, Crescent City, IL 60928-0089 | 2007-02-22 |
| 1174856009 | Kristin Nicole Laird | Hearing Instrument Specialist | 503 E. Main St., Crescent City, IL 60928-0191 | 2009-09-10 |
| 1073031019 | Mark Daniel Moore | Psychologist | 100 Miner St, Crescent City, IL 60928-8092 | 2017-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490117 | Erin Alayna Brunton | Nurse Practitioner | 131 Breakwater Dr, Crescent City, CA 95531-8634 | 2020-09-02 |
| 1487278628 | Marcia Marie Long | Technician | 454 Georgetown Shortcut Rd, Crescent City, FL 32112-4504 | 2020-06-03 |
| 1366072571 | Redwood Focused Care Clinics | Internal Medicine | 286 M St Ste B, Crescent City, CA 95531-4115 | 2020-01-16 |
| 1366082463 | Stallant Medical Group Inc | Family Medicine | 785 E Washington Blvd Ste 8, Crescent City, CA 95531-8372 | 2020-01-07 |
| 1679115000 | Del Norte Healthcare District | Clinic/Center | 550 E Washington Blvd Ste 400, Crescent City, CA 95531-8161 | 2019-10-17 |
| 1669038469 | Alissa Michelle Oulman-kirkpatrick | Lactation Consultant, Non-RN | 286 M St Ste C, Crescent City, CA 95531-4115 | 2019-05-16 |
| 1548725237 | John Michael Horner | Counselor | 455 Kst, Crescent City, CA 95531 | 2019-02-06 |
| 1104393990 | Richard Martin Pearcey | Driver | 2480 Maciel Ln, Crescent City, CA 95531-8633 | 2018-10-30 |
| 1205311685 | Coastal Cab Company LLC | Taxi | 1250 6th St, Crescent City, CA 95531-2803 | 2018-10-01 |
| 1174000285 | Eric Black | Pharmacist | 657 Us Highway 101 N, Crescent City, CA 95531-2306 | 2018-07-20 |
| Find all providers in CRESCENT CITY | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468871 | Germantown Fire Protection District | Ambulance | 313 Prairie Ave, Germantown Hills, IL 61548-9290 | 2020-05-07 |
| 1740809870 | Blackhawk Fire Protection District | Ambulance | 3738 S Main St, Rockford, IL 61102-4239 | 2020-04-09 |
| 1134776859 | Preferred Ambulance LLC | Ambulance | 9449 S Kedzie Ave Ste 301, Evergreen Park, IL 60805-2325 | 2019-08-19 |
| 1407321938 | Alliance Ambulance LLC | Ambulance | 4248 Belle Aire Lane Suite 3, Downers Grove, IL 60515-1303 | 2018-10-11 |
| 1366924888 | Randolph Township Fire Protection District | Ambulance | 707 S. Vine St, Heyworth, IL 61745 | 2018-08-31 |
| 1033615307 | Bridget Mangan | Ambulance | 3559 W 101st St, Evergreen Park, IL 60805-3708 | 2018-04-04 |
| 1093211823 | Lakeside Ems LLC | Ambulance | 3293 E 500 North Rd, Neoga, IL 62447 | 2018-04-02 |
| 1902301013 | Ability Transportation Inc | Ambulance | 24459 W Eames St, Channahon, IL 60410-5591 | 2018-03-29 |
| 1417472739 | City of Benton | Ambulance | 107 N. Maple St., Benton, IL 62812 | 2017-08-08 |
| 1619499878 | Mission Care of Illinois LLC | Ambulance | 812 N 3rd St, Effingham, IL 62401-3130 | 2017-07-10 |
| Find all providers with the same taxonomy | ||||
| City | CRESCENT CITY |
| Zip Code | 60928 |
Please comment or provide details below to improve the information on CRESCENT-IROQUOIS EMS & AMBULANCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.