CITY OF SOUTH BELOIT (NPI# 1295768364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295768364 |
| Entity Type | Organization |
| Organization Name | CITY OF SOUTH BELOIT |
| Other Organization Name | SOUTH BELOIT FIRE DEPARTMENT |
| Practice Address |
519 Blackhawk Blvd South Beloit IL 61080-1977 |
| Mailing Address |
Po Box 457 Wheeling IL 60090-0457 |
| Practice Telephone | 8153893023 |
| Practice Fax Number | 8153898830 |
| Mailing Telephone | 8475778811 |
| Mailing Fax Number | 8475777967 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2008-05-19 |
| Authorized Official Name | KEN MORSE (FIRE CHIEF) |
| Authorized Official Telephone | 8153893023 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1416 | IL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 10119295 | 01 |
| IL | RR MEDICARE | 590008426 | 01 |
| Other Name | Type Code |
|---|---|
| South Beloit Fire Department | Doing Business As Name - Organization |
| Street Address |
519 BLACKHAWK BLVD |
| City | SOUTH BELOIT |
| State | IL |
| Zip Code | 61080-1977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033636907 | Teresa Ann Sambrook | Registered Nurse | 6605 Prairie Hill Road, South Beloit, IL 61080 | 2017-08-23 |
| 1497104335 | Nishant N Patel | Family Medicine | South Beloit Clinic-bhs, 1701 Blackhawk Blvd, South Beloit, IL 61080 | 2016-06-10 |
| 1144679085 | Thuy T Nguyen | Family Medicine | South Beloit Clinic- Bhs, 1701 Blackhawk Blvd, South Beloit, IL 61080 | 2016-06-10 |
| 1861652919 | Diane Marie Brandlein | Dentist | 1917 Blackhawk Blvd, South Beloit, IL 61080 | 2008-06-12 |
| 1003028127 | Stateline Chiropractic & Sports Injury Clinic Sc | Chiropractor | 1407 Pate Plaza Dr, South Beloit, IL 61080 | 2007-05-03 |
| 1366085383 | Susan D Geise | Registered Nurse | 1022 Fisher Rd, South Beloit, IL 61080-1102 | 2019-10-22 |
| 1700295334 | Erica Lynn Myher | Licensed Practical Nurse | 131 Elmo Ave, South Beloit, IL 61080-1218 | 2014-08-07 |
| 1669098844 | James Earl Brooks I | Counselor | 523 Clark St, South Beloit, IL 61080-1317 | 2020-06-23 |
| 1265558837 | Joseph C Probst | Chiropractor | 1407 Pate Plaza Dr, South Beloit, IL 61080-1431 | 2007-03-22 |
| 1679839773 | South Beloit Office | General Practice | 1407 Pate Plaza Dr, South Beloit, IL 61080-1431 | 2012-04-03 |
| Find all providers in zip 61080 | ||||
| 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 | SOUTH BELOIT |
| Zip Code | 61080 |
Please comment or provide details below to improve the information on CITY OF SOUTH BELOIT.
| 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.