OrganizationActive
City of Benton
NPI 1417472739 · Land Ambulance · Benton, IL
Provider details
- NPI number
- 1417472739
- Entity type
- Organization
- Primary specialty
- Land AmbulanceTransportation Services
- Organization subpart
- No
- Authorized official
- Shane Cockrum, Fire Chief(618) 439-2511
- License
- 055496 (IL)
Specialties & taxonomies
Transportation Services
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
107 N Maple St
Benton, IL 62812-1368
Phone: (618) 439-2511
Street-level locationGet directions
Mailing address
107 N Maple St
Benton, IL 62812-1368
Other names (DBA / former)
- Doing business as
- City of Benton Fire Department
Registry dates
- Enumerated
- 2017-08-08
- Last updated
- 2024-11-03
- Certified
- 2024-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.