STOCKTON FIRE PROTECTION DIST (NPI# 1629014774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629014774 |
| Entity Type | Organization |
| Organization Name | STOCKTON FIRE PROTECTION DIST |
| Other Organization Name | STOCKTON COMMUNITY AMBULANCE |
| Practice Address |
113 E Queen St Stockton IL 61085-1327 |
| Practice Telephone | 8159473500 |
| Practice Fax Number | 8159479102 |
| Mailing Telephone | 8159473500 |
| Mailing Fax Number | 8159479102 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2011-05-11 |
| Authorized Official Name | MRS. DEBRA J HEIDENREICH (PRESIDENT) |
| Authorized Official Telephone | 8159473023 |
| Authorized Official Credential | PHRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146M00000X | Emergency Medical Technician, Intermediate | 100802 | IL | Emergency Medical Service Providers |
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
100802 | IL | Transportation Services |
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
100803 | IL | Transportation Services |
| N | 146N00000X | Emergency Medical Technician, Basic | 100803 | IL | Emergency Medical Service Providers |
| N | 146N00000X | Emergency Medical Technician, Basic | 100802 | IL | Emergency Medical Service Providers |
| Y | 146M00000X | Emergency Medical Technician, Intermediate | 100803 | IL | Emergency Medical Service Providers |
| Other Name | Type Code |
|---|---|
| Stockton Community Ambulance | Doing Business As Name - Organization |
| Street Address |
113 E QUEEN ST |
| City | STOCKTON |
| State | IL |
| Zip Code | 61085-1327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316330152 | Waverly Place of Stockton, LLC | Skilled Nursing Facility | 501 E Front Avenue, Stockton, IL 61085 | 2015-03-17 |
| 1033603790 | Caitlin M Pullara | Dentist | 120 W Front Ave, Stockton, IL 61085 | 2018-06-17 |
| 1598935504 | Carroll & Jo Davies & Stephenson Roe | Case Manager/Care Coordinator | 500 N Rush St, Stockton, IL 61085-1004 | 2008-03-05 |
| 1215105291 | Stockton Cusd 206 | Local Education Agency (LEA) | 500 N Rush St # M, Suite A, Stockton, IL 61085-1004 | 2008-02-13 |
| 1356587364 | Tracy L. Boyer | Occupational Therapist | 517 W Hilltop Ter, Stockton, IL 61085-1025 | 2008-12-22 |
| 1700059805 | Kreider Services, Inc | Intermediate Care Facility, Mentally Retarded | 605 N Main St, Stockton, IL 61085-1121 | 2008-04-09 |
| 1629257332 | Joseph Stephan Cahill | Chiropractor | 307 N Hudson St, Stockton, IL 61085-1219 | 2007-10-30 |
| 1710052246 | Stephen F Petras | Dentist | 120 W Front Ave, Stockton, IL 61085-1318 | 2006-11-21 |
| 1093880536 | Stockton Dental Center, Inc. | Dentist | 120 W Front Ave, Stockton, IL 61085-1318 | 2006-11-21 |
| 1255955449 | Andrew John Gibbs | Pharmacist | 117 N Main St, Stockton, IL 61085-1321 | 2020-06-03 |
| Find all providers in zip 61085 | ||||
| Taxonomy Code | 146M00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Intermediate |
| An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114577210 | Joseph Matthew Thiel | Emergency Medical Technician, Intermediate | 558 West De Koven, Chicago, IL 60607 | 2019-09-19 |
| 1649629288 | Emergency Medical Medicine | Emergency Medical Technician, Intermediate | 2530 Crawford Ave Ste 307, Evanston, IL 60201-4972 | 2016-06-05 |
| 1720436496 | Osco | Emergency Medical Technician, Intermediate | 2550 Clybourn St., Chicago, IL 60614-1941 | 2016-06-02 |
| 1023219094 | Tri District Emergency Ambulance | Emergency Medical Technician, Intermediate | 7563 Il Route 75, Rock City, IL 61070-0117 | 2007-05-29 |
| 1841726957 | Ess of Marion LLC | Emergency Medical Technician, Intermediate | 3333 W Deyoung St, Marion, IL 62959 | 2017-05-10 |
| 1336495985 | Stephani L Poe | Emergency Medical Technician, Intermediate | 3122 Brettwood Cir, Decatur, IL 62526-2425 | 2012-08-01 |
| 1841512316 | Tri-cities Immediate Care LLC | Emergency Medical Technician, Intermediate | 815 N Randall Rd, Batavia, IL 60510-1992 | 2010-02-24 |
Please comment or provide details below to improve the information on STOCKTON FIRE PROTECTION DIST.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.