Lostant Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

000002544 Issued in IL

Legal business name

LOSTANT FIRE PROTECTION DISTRICT

Practice address

101 E 1St Street
Lostant, IL 61334-0024

Phone

(309) 682-5280

Fax

(309) 682-5327

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Ronald Freitag, EMT

Title

EMS Chief

Phone

(815) 712-2734

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LOSTANT FIRE PROTECTION DISTRICT Doing business as

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1497896864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260",
            "city": "MENDOTA",
            "state": "IL",
            "postal_code": "613420260",
            "telephone_number": "866-570-2468",
            "fax_number": "815-539-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 1ST STREET",
            "city": "LOSTANT",
            "state": "IL",
            "postal_code": "613340024",
            "telephone_number": "309-682-5280",
            "fax_number": "309-682-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOSTANT FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "FREITAG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "815-712-2734",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "000002544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05032042",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOSTANT FIRE PROTECTION DISTRICT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Wayne Anderson, DC
• Lostant Comm Unit SCH Dist 425
• Rhonda Joan Marty Anderson, DC
• Marty Chiropractic Wellness Center, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.