North Boone Fire District 3

Primary specialty

AmbulanceTaxonomy code 341600000X

License

10 1040 Issued in IL

Legal business name

NORTH BOONE FIRE DISTRICT 3

Practice address

305 W Grove St
Poplar Grove, IL 61065-9040

Phone

(815) 765-3366

Fax

(815) 765-9196

NPI assigned

Dec 26, 2014

Last updated

Jul 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Josephine Madigan Ostler

Title

EMS Coordinator

Phone

(815) 765-3366

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1164810255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114",
            "city": "POPLAR GROVE",
            "state": "IL",
            "postal_code": "610650114",
            "telephone_number": "815-765-3366",
            "fax_number": "815-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W GROVE ST",
            "city": "POPLAR GROVE",
            "state": "IL",
            "postal_code": "610659040",
            "telephone_number": "815-765-3366",
            "fax_number": "815-765-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BOONE FIRE DISTRICT 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-26",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "OSTLER",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "MADIGAN",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "815-765-3366",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "10 1040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn Marcus, RBT
• Ashley Lynn Moritz, M.S., CCC-SLP/L
• McKenzie Neisius
• Kathleen Marie Newhouse, DPT
• North Boone Cusd 200
• Maegan O'Brien, MS CCC-SLP
• Bernard Edward O'Malley, MD
• Marykay Petges, RN
• Pioneer Center
• Poplar Grove Chiropractic

• Ambulance in Poplar Grove, IL
• Providers in Poplar Grove, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.