McHenry Township Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7142 Issued in IL

Legal business name

MCHENRY TOWNSHIP FIRE PROTECTION DISTRICT

Practice address

3610 W Elm St
McHenry, IL 60050-4356

Phone

(815) 385-0075

Fax

(815) 385-9419

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Wayne Amore

Title

Fire Chief

Phone

(815) 385-0075

Specialties & licenses 1

Addresses

Other identifiers 4

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1376599464",
    "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": "3610 W ELM ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504356",
            "telephone_number": "815-385-0075",
            "fax_number": "815-385-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCHENRY TOWNSHIP FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "AMORE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-385-0075"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "7142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5670644",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL OWCP",
            "identifier": "349023600",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590006551",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ANTHEM",
            "identifier": "628439",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McHenry Naprapathic Center, P.C.
• McHenry Optical LTD.
• McHenry Pathology Associates, S.C
• McHenry Pediatrics MD SC
• McHenry Radiologists and Imaging Associates SC
• Michael McKay
• Taylor McKenna, MS
• Delorean McKinney, BEHAVIORAL HEALTH
• Kasey Renae McKinney
• Elizabeth K McMasters, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.