CITY OF BENTON FIRE DEPARTMENT
NPI 1417472739
Ambulance - Land Transport in Benton, IL

Active since August 08, 2017
107 N MAPLE ST, BENTON, IL 62812(618) 439-2511 Get Directions Write a Review

NPPES record last updated: November 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 8, 2017 (2 updates tracked since 2017).

About City Of Benton Fire Department NPPES

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

CITY OF BENTON FIRE DEPARTMENT (NPI 1417472739) is a healthcare organization registered as a land transport in Benton, Illinois and active in the NPI registry since August 2017. The organization lists Shane Tyler Cockrum, Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1417472739
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCITY OF BENTON
Location Address107 N MAPLE STBenton, IL 62812-1368
Mailing Address107 N Maple StBenton, IL 62812-1368
Organization SubpartNo
Authorized OfficialShane Tyler CockrumFire Chief · (618) 439-2511
Enumeration DateAugust 8, 2017
Last NPPES UpdateNovember 3, 20242 updates tracked since enumeration
NPPES CertifiedNovember 3, 2024
NPI 1417472739 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 · 055496
107 N MAPLE ST, Benton, IL 62812

Other Names 1

Doing Business AsCity Of Benton Fire Department

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 City Of Benton's NPI number?

The NPI number for City Of Benton is 1417472739. It was assigned to this organization in the NPPES registry on August 8, 2017. The provider is doing business as City Of Benton Fire Department.

Where is City Of Benton located?

City Of Benton is located at 107 N Maple St, Benton, IL 62812. The listed phone number is (618) 439-2511.

What is City Of Benton's specialty?

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

When was this NPI record last updated?

The NPPES record for City Of Benton was last updated on November 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.