Glen Carbon Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

4005 Issued in IL

Legal business name

GLEN CARBON FIRE PROTECTION DISTRICT

Practice address

430 Glen Carbon Rd
Glen Carbon, IL 62034-2966

Phone

(618) 288-1258

Fax

(618) 288-2191

NPI assigned

May 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Friedel

Title

Fire Chief

Phone

(618) 288-1258

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1063625697",
    "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": "847-577-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 GLEN CARBON RD",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620342966",
            "telephone_number": "618-288-1258",
            "fax_number": "618-288-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN CARBON FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FRIEDEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "618-288-1258"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "4005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "06032261",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Grace Gibbs, RBT
• Kelsey Giger
• Victoria Elise Ginder, LCSW, MSW
• Ginger Creek Dental LLC
• Harlan Lorenzo Glasper III
• Glen Ed Pharmacy LLC
• Kristin Goeb
• Sarah Goshorn
• Alexandra Lynn Goss, RBT
• Michael Francis Gowen, MD

• Land Ambulance in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.

Verify at the official NPI Registry.