Provider Demographics
NPI:1588621932
Name:BARTLETT FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:BARTLETT FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:GABRENYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-837-3701
Mailing Address - Street 1:395 W LAKE ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-1508
Mailing Address - Country:US
Mailing Address - Phone:630-530-1280
Mailing Address - Fax:630-903-2830
Practice Address - Street 1:234 N OAK AVE
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-4074
Practice Address - Country:US
Practice Address - Phone:630-837-3701
Practice Address - Fax:630-837-4052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-28
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL98067033416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL590013616OtherRAILROAD MEDICARE
IL016-20931OtherBCBS OF IL
IL363275332001OtherHFS
IL363275332001OtherHFS