Village of Morton

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

VILLAGE OF MORTON

Practice address

300 W Courtland St
Morton, IL 61550-1409

Phone

(309) 266-9001

Fax

(309) 266-6782

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

Mr. Joseph L Kelley

Title

Fire Chief

Phone

(309) 266-9001

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MORTON FIRE DEPARTMENT Other name

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": "1337126400000",
    "number": "1629024807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615500103",
            "telephone_number": "309-266-9001",
            "fax_number": "309-266-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W COURTLAND ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501409",
            "telephone_number": "309-266-9001",
            "fax_number": "309-266-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF MORTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "309-266-9001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "590005540",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "090-70932",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MORTON FIRE DEPARTMENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Barry Ufheil, LCPC
• Eugene D Vaccaro, PSYD
• Vah, LTD
• Roberta Van Zant, DO
• Paul O Velting, O.D.
• Vintage Optical Brian C Sommer OD LTD
• Visiting Doctors Network Inc.
• Visiting Physicians of Peoria Inc
• Jennifer Vissering
• Chelsi Ann Waddell, D.C.

• Ambulance in Morton, IL
• Providers in Morton, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.