Active NPI
East Joliet Fire Protection District
- Land Ambulance
- Joliet, IL
National Provider Identifier
1053530923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- EAST JOLIET FIRE PROTECTION DISTRICT
- Practice address
- 911 S Briggs St
Joliet, IL 60433-9592 - Phone
- (815) 723-1504
- Fax
- (815) 723-1554
- NPI assigned
- Apr 25, 2007
- Last updated
- Jan 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert F. Scholtes
- Title
- Fire Chief
- Phone
- (815) 723-1504
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | IL | Primary |
Addresses
Primary practice location
911 S Briggs St
Joliet, IL 60433-9592
Mailing address
PO Box 457
Wheeling, IL 60090-0457
Phone (847) 577-8811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110825000272 | IL | Part B Supplier - Ambulance Service Supplier | 3375713548 | Practice locations: Joliet, IL |
National Provider Directory
National Provider DirectoryLocations
102 E Zarley Blvd
Joliet, IL 60433
Phone (815) 723-1504
911 S Briggs St
Joliet, IL 60433
Phone (815) 723-1504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295395200000",
"number": "1053530923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 457",
"city": "WHEELING",
"state": "IL",
"postal_code": "600900457",
"telephone_number": "847-577-8811",
"fax_number": "847-577-3518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 S BRIGGS ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604339592",
"telephone_number": "815-723-1504",
"fax_number": "815-723-1554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST JOLIET FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2011-01-19",
"status": "A",
"authorized_official_last_name": "SCHOLTES",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "815-723-1504"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.