1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Emergency Medicine
  6. NPI Profile

PEORIA FIRE DEPARTMENT
NPI 1427728682
Emergency Medicine - Emergency Medical Services in Peoria, IL

Active since September 17, 2021CLIA 14D2236351 · Waiver
505 NE MONROE, PEORIA, IL 61603(309) 494-8794 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peoria Fire Department NPPES

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

PEORIA FIRE DEPARTMENT (NPI 1427728682) is a healthcare organization registered as an emergency medical services in Peoria, Illinois and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Roland Tenley, Battalion Chief Of Ems, as its authorized official.

NPPES Registry Identity

NPI1427728682
Entity TypeOrganization
Primary Taxonomy207PE0004X
Legal Business NamePEORIA FIRE DEPARTMENT
Location Address505 NE MONROEPeoria, IL 61603
Mailing Address505 Ne MonroePeoria, IL 61603 · (309) 494-8794
Phone(309) 494-8794
Organization SubpartNo
Authorized OfficialRoland TenleyBattalion Chief Of Ems · (309) 494-8794
Enumeration DateSeptember 17, 2021
NPPES CertifiedSeptember 17, 2021
✔ NPI 1427728682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
505 NE MONROE, Peoria, IL 61603
Open in Google Maps ↗

Other Names 1

Other NamePeoria Fire Department

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 14D2236351

Peoria Fire Department · Peoria, IL
Active · expires Sep 15, 2027
CLIA Number14D2236351
Laboratory TypeFire Dept (ems)
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorRoland J. Tenley
Laboratory Phone(309) 494-8700
Laboratory LocationPeoria Fire Department505 NE Monroe St, Peoria, IL 61603
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Peoria Fire Department's NPI number?

The NPI number for Peoria Fire Department is 1427728682. It was assigned to this organization in the NPPES registry on September 17, 2021.

Where is Peoria Fire Department located?

Peoria Fire Department is located at 505 NE Monroe, Peoria, IL 61603. The listed phone number is (309) 494-8794.

What is Peoria Fire Department's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Does Peoria Fire Department hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2236351) is associated with this NPI, valid through September 15, 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 Peoria Fire Department was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.