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STOCKTON COMMUNITY AMBULANCE
NPI 1629014774
Emergency Medical Technician, Intermediate in Stockton, IL

Active since June 20, 2006
113 E QUEEN ST, STOCKTON, IL 61085(815) 947-3500(815) 947-9102 Get Directions Write a Review

NPPES record last updated: May 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stockton Community Ambulance NPPES

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

STOCKTON COMMUNITY AMBULANCE (NPI 1629014774) is a healthcare organization registered as an emergency medical technician, intermediate in Stockton, Illinois and active in the NPI registry since June 2006. The organization lists Debra J Heidenreich, President, as its authorized official.

NPPES Registry Identity

NPI1629014774
Entity TypeOrganization
Primary Taxonomy146M00000X
Legal Business NameSTOCKTON FIRE PROTECTION DIST
Location Address113 E QUEEN STStockton, IL 61085-1327
Mailing Address113 E Queen StStockton, IL 61085-1327 · (815) 947-3500 · Fax (815) 947-9102
Phone(815) 947-3500
Fax(815) 947-9102
Organization SubpartNo
Authorized OfficialDebra J HeidenreichPresident · (815) 947-3023
Enumeration DateJune 20, 2006
Last NPPES UpdateMay 11, 2011
✔ NPI 1629014774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency Medical Technician, IntermediateEmergency Medical Service Providers
Taxonomy Code146M00000X
Licenses✔ Licensed in IL · 100803✔ Licensed in IL · 100802
Definition
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X · License 100803 (IL), 100802 (IL)
Also ListedAmbulance · Land TransportTaxonomy 3416L0300X · License 100802 (IL), 100803 (IL)
113 E QUEEN ST, Stockton, IL 61085
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Other Names 1

Doing Business AsStockton Community Ambulance

Other Identifiers 2

Medicare ID-Type Unspecified205050
Medicaid=========001IL

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 MULTIPLE SINGLE SPECIALTY GROUP

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.
1,465 services46 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
54 services40 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 Stockton Fire Protection Dist's NPI number?

The NPI number for Stockton Fire Protection Dist is 1629014774. It was assigned to this organization in the NPPES registry on June 20, 2006. The provider is doing business as Stockton Community Ambulance.

Where is Stockton Fire Protection Dist located?

Stockton Fire Protection Dist is located at 113 E Queen St, Stockton, IL 61085. The listed phone number is (815) 947-3500.

What is Stockton Fire Protection Dist's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Intermediate with taxonomy code 146M00000X.

When was this NPI record last updated?

The NPPES record for Stockton Fire Protection Dist was last updated on May 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.