MCHENRY TOWNSHIP FIRE PROTECTION DISTRICT NPI 1376599464

NPI Information

NPI: 1376599464
Provider Name: MCHENRY TOWNSHIP FIRE PROTECTION DISTRICT
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
3610 W ELM ST
MCHENRY, IL
ZIP 60050
Phone: (815) 385-0075
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MCHENRY TOWNSHIP FIRE PROTECTION DISTRICT is a land transport ambulance in Mchenry, IL. MCHENRY TOWNSHIP FIRE PROTECTION DISTRICT NPI is 1376599464. The provider is registered as an organization entity type.

The provider's business location address is:

3610 W ELM ST
MCHENRY, IL
ZIP 60050-356
Phone: (815) 385-0075
Fax: (815) 385-9419

The provider's authorized official is Wayne Amore .
The authorized official title is Fire Chief and has the following contact phone number (815) 385-0075.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 5/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	7142	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	349023600	OTHER	ILLINOIS	DOL OWCP
2	590006551	OTHER	ILLINOIS	RR MEDICARE
3	=========001	MEDICAID	ILLINOIS
4	786570	MEDICARE PIN	ILLINOIS
5	590006551	MEDICARE PIN	ILLINOIS
6	5670644	OTHER	ILLINOIS	BCBS
7	628439	OTHER	ILLINOIS	BCBS ANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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