NEW MILFORD FIRE AMBULANCE (NPI# 1790804144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790804144 |
| Entity Type | Organization |
| Organization Name | NEW MILFORD FIRE AMBULANCE |
| Practice Address |
2177 Will James Rd Rockford IL 61109-4854 |
| Practice Telephone | 8152352353 |
| Mailing Telephone | 8158744880 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2018-03-01 |
| Authorized Official Name | JONATHAN RYAN TRAIL (DEPUTY CHIEF OF EMS) |
| Authorized Official Telephone | 8158744880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1506544 | IL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS SHIELD OF IL | 10170774 | 01 |
| IL | RAILROAD MEDICARE | 990007591 | 01 |
| IL | 363298101001 | 05 |
| Street Address |
2177 WILL JAMES RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61109-4854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487164398 | Linda A Morel | Speech-Language Pathologist | 6129 Valley Knoll Drive, Rockford, IL 61109 | 2017-10-05 |
| 1841720315 | Activate Healthcare - Local 23 Clinic | Clinic/Center | 3413 Colony Bay, Rockford, IL 61109 | 2017-06-15 |
| 1255430062 | Suzanne E. Wang | Nurse Practitioner | 4940 East State Street, Rockford Veterans Administration Out Patient Clinic, Rockford, IL 61109 | 2006-09-21 |
| 1073597498 | Peter Joseph Gunther | Optometrist | 2995 Eastrock Dr, Rockford, IL 61109 | 2005-11-30 |
| 1104482769 | Catherine L Hill | Nurse's Aide | 2831 Bildahl St, Rockford, IL 61109-1136 | 2019-05-18 |
| 1962671701 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 3522 Green Dale Dr, Rockford, IL 61109-1575 | 2008-02-26 |
| 1326174665 | Lloyd Hearing Aid Corp | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2007-02-23 |
| 1710965439 | Gary Michael Briden | Family Medicine | 4423 Manchester Dr, Rockford, IL 61109-1655 | 2006-01-03 |
| 1386092625 | Andrew Palmquist | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2016-05-26 |
| 1851324289 | Reginald Dinan Quart | Family Medicine | 4423 Manchester Dr, Rockford, IL 61109-1655 | 2006-07-09 |
| Find all providers in zip 61109 | ||||
| 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 |
|---|---|---|---|---|
| 1740809870 | Blackhawk Fire Protection District | Ambulance | 3738 S Main St, Rockford, IL 61102-4239 | 2020-04-09 |
| 1275708752 | Mercy Ambulance Service LLC | Ambulance | 1025 Campton Dr, Rockford, IL 61102-1066 | 2008-04-25 |
| 1619036829 | Osf Lifeline Ambulance, LLC | Ambulance | 318 Roxbury Rd, Rockford, IL 61107-5090 | 2006-12-06 |
| 1013952589 | Rockford Ambulance Inc | Ambulance | 8450 Shaner Ave Ne, Rockford, MI 49341-9379 | 2006-06-18 |
| 1720050826 | City of Rockford | Ambulance | 204 S 1st St, Rockford, IL 61104-2033 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468871 | Germantown Fire Protection District | Ambulance | 313 Prairie Ave, Germantown Hills, IL 61548-9290 | 2020-05-07 |
| 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 |
| 1538618483 | Lexington Community Fire Protection District | Ambulance | 102 S Benson St, Lexington, IL 61753-1200 | 2016-10-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NEW MILFORD FIRE 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.