RANDOLPH TOWNSHIP FIRE PROTECTION DISTRICT
NPI 1366924888
Ambulance - Land Transport in Heyworth, IL

Active since August 31, 2018CLIA 14D2167693 · Waiver
707 S. VINE ST, HEYWORTH, IL 61745(309) 473-2149 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2024, Sep 1, 2018 (2 updates tracked since 2018).

About Randolph Township Fire Protection District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDOLPH TOWNSHIP FIRE PROTECTION DISTRICT (NPI 1366924888) is a healthcare organization registered as a land transport in Heyworth, Illinois and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Randall Richards, Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1366924888
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameRANDOLPH TOWNSHIP FIRE PROTECTION DISTRICT
Location Address707 S. VINE STHeyworth, IL 61745
Mailing Address103 S Buchanan StHeyworth, IL 61745-8908 · (309) 473-2149 · Fax (309) 473-2473
Organization SubpartNo
Authorized OfficialRandall RichardsFire Chief · (309) 838-2062
Enumeration DateAugust 31, 2018
Last NPPES UpdateJuly 25, 20242 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
NPI 1366924888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License Licensed in IL · 022568
707 S. VINE ST, Heyworth, IL 61745

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2167693

Randolph Township Fire Protection District · Heyworth, IL
Active · expires Jun 12, 2027
CLIA Number14D2167693
Laboratory TypeAmbulance
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorJeffrey Kiesling
Laboratory Phone(309) 473-2149
Laboratory LocationRandolph Township Fire Protection District707 S Vine St, Heyworth, IL 61745
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
542 services25 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
31 services22 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randolph Township Fire Protection District's NPI number?

The NPI number for Randolph Township Fire Protection District is 1366924888. It was assigned to this organization in the NPPES registry on August 31, 2018.

Where is Randolph Township Fire Protection District located?

Randolph Township Fire Protection District is located at 707 S. Vine St, Heyworth, IL 61745. The listed phone number is (309) 473-2149.

What is Randolph Township Fire Protection District's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Randolph Township Fire Protection District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2167693) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Randolph Township Fire Protection District was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.