{
"Npi": {
"NPI": "1437276318",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TREMONT 702 RESCUE SQUAD",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 111",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TREMONT",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "61568-0111",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "309-925-5380",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "400 E PEARL ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TREMONT",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "61568-8581",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "309-925-5380",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/23/2007",
"LastUpdateDate": "11/19/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STEINER",
"AuthorizedOfficialFirstName": "TRENT",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "CHIEF/MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "309-232-6878",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "22594",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}