Martinton Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6785 Issued in IL

Legal business name

MARTINTON FIRE PROTECTION DISTRICT

Practice address

2121 E 2800 North Rd
Martinton, IL 60951-6011

Phone

(815) 428-7446

Fax

(815) 428-7161

NPI assigned

Mar 5, 2008

Last updated

Sep 23, 2009By 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

James Seabert

Title

Fire Chief

Phone

(815) 383-7544

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1255501383",
    "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": "2121 E 2800 NORTH RD",
            "city": "MARTINTON",
            "state": "IL",
            "postal_code": "609516011",
            "telephone_number": "815-428-7446",
            "fax_number": "815-428-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINTON FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "SEABERT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-383-7544"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "6785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03832024",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Gladu, DPT
• Kelly K Haag, LCSW
• Dane Michael Langellier, ATC
• Jeffrey Lanoue
• Tammy Waine Nemeth, LCSW

• Land Ambulance in Martinton, IL
• Providers in Martinton, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.