Provider Demographics
NPI:1255501383
Name:MARTINTON FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:MARTINTON FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SEABERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-383-7544
Mailing Address - Street 1:PO BOX 457
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-0457
Mailing Address - Country:US
Mailing Address - Phone:847-577-8811
Mailing Address - Fax:847-577-3518
Practice Address - Street 1:2121 E 2800 NORTH RD
Practice Address - Street 2:
Practice Address - City:MARTINTON
Practice Address - State:IL
Practice Address - Zip Code:60951-6011
Practice Address - Country:US
Practice Address - Phone:815-428-7446
Practice Address - Fax:815-428-7161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL67853416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL03832024OtherBLUE CROSS BLUE SHIELD
IL03832024OtherBLUE CROSS BLUE SHIELD