RANDOLPH TOWNSHIP FIRE PROTECTION DISTRICT (NPI# 1366924888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366924888 |
| Entity Type | Organization |
| Organization Name | RANDOLPH TOWNSHIP FIRE PROTECTION DISTRICT |
| Practice Address |
707 S. Vine St Heyworth IL 61745 |
| Mailing Address |
103 S Buchanan St Heyworth IL 61745-8908 |
| Practice Telephone | 3094732149 |
| Mailing Telephone | 3094732149 |
| Mailing Fax Number | 3094732473 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-09-01 |
| Authorized Official Name | JEFF S KIESLING (EMS SUPERVISOR) |
| Authorized Official Telephone | 3098382062 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
022568 | IL | Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RANDOLPH TOWNSHIP FIRE PROTECTION DISTRICT | 103 S Buchanan St, Heyworth, IL 61745-8908 |
| Street Address |
707 S. VINE ST |
| City | HEYWORTH |
| State | IL |
| Zip Code | 61745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245226653 | Russell John Maas | Chiropractor | 117 B East Main St, Heyworth, IL 61745 | 2005-09-21 |
| 1619019072 | Heyworth Ambulance Service | Ambulance | 707 S Vine St, Heyworth, IL 61745-0258 | 2007-02-13 |
| 1861669475 | Maas Chiropractic Center Incorporated | Chiropractor | 117 E Main St, Heyworth, IL 61745-7647 | 2008-05-13 |
| 1255947263 | Sheniqua Woodson | Nurse's Aide | 308 Wigwam # 4c, Heyworth, IL 61745-8932 | 2020-09-16 |
| 1003328741 | Molly Lynn Post | Speech-Language Pathologist | 100 S Joselyn St, Heyworth, IL 61745-9191 | 2017-11-03 |
| 1063928430 | Mary Theresa Vandiver | Speech-Language Pathologist | 100 S Joselyn St, Heyworth, IL 61745-9191 | 2017-12-21 |
| 1982013090 | Kimberly Weber | Physical Therapist | 400 Trotter Dr, Heyworth, IL 61745-9212 | 2014-08-04 |
| 1114357118 | Athena Home Health, Inc. | Home Infusion | 112 Prancer Dr, Heyworth, IL 61745-9648 | 2013-11-13 |
| 1730235102 | Community Unit School Dist 4 | Local Education Agency (LEA) | 522 E Main St, Heyworth, IL 61745-9694 | 2007-01-26 |
| 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 |
|---|---|---|---|---|
| 1619019072 | Heyworth Ambulance Service | Ambulance | 707 S Vine St, Heyworth, IL 61745-0258 | 2007-02-13 |
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|---|---|---|---|---|
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| 1407321938 | Alliance Ambulance LLC | Ambulance | 4248 Belle Aire Lane Suite 3, Downers Grove, IL 60515-1303 | 2018-10-11 |
| 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 |
| 1538618483 | Lexington Community Fire Protection District | Ambulance | 102 S Benson St, Lexington, IL 61753-1200 | 2016-10-03 |
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| 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.