Germantown Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GERMANTOWN FIRE PROTECTION DISTRICT

Doing business as

Germantown Hills Fire Department

Practice address

313 Prairie Ave
Germantown Hills, IL 61548-9290

Phone

(309) 369-1861

NPI assigned

May 7, 2020

Last updated

Jul 13, 2020By 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

Jai W Windish

Title

Compliance Officer

Phone

(309) 383-4890

Specialties & licenses 1

Addresses

Other names 1

• GERMANTOWN HILLS FIRE DEPARTMENT Doing business as

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": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1306468871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 PRAIRIE AVE",
            "city": "GERMANTOWN HILLS",
            "state": "IL",
            "postal_code": "615489290",
            "telephone_number": "309-369-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 PRAIRIE AVE",
            "city": "GERMANTOWN HILLS",
            "state": "IL",
            "postal_code": "615489290",
            "telephone_number": "309-369-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "WINDISH",
        "authorized_official_first_name": "JAI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "309-383-4890"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GERMANTOWN HILLS FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GERMANTOWN HILLS FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Culbertson, RN
• Stephanie Lynn Dillon, PT
• Sarandon Dubois
• Paige Frenette
• Laura Geiler
• Germantown Hills Medical Center SC
• Benjamin Hahn
• Ethan O Houge
• Tamara Sue Howerton, RPH
• Laurel Ruby Huston, LPC

• Land Ambulance in Germantown Hills, IL
• Providers in Germantown Hills, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.