Dale Township Fire Protection District
Organization Active NPI Land Ambulance · Shirley, IL
NPI 1114197332 · NPPES record last updated Jun 11, 2025
Key facts
- NPI
- 1114197332
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 02 2563 (IL)
- Legal business name
- DALE TOWNSHIP FIRE PROTECTION DISTRICT
- Practice address
- 10605 Quinn St
Shirley, IL 61772 - Phone
- (309) 379-2600
- Fax
- (309) 682-5327
- NPI assigned
- Mar 4, 2008
- Organization subpart
- No
Authorized official
- Name
- Ryan Gibson
- Title
- Fire Chief
- Phone
- (309) 379-2600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080815000359 | IL | Part B Supplier - Ambulance Service Supplier | 9032284609 | Practice locations: Shirley, IL |
National Provider Directory
Locations
8051 E 1100 North Rd
Bloomington, IL 61705
Phone (309) 379-2600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 02 2563 | IL | Yes |
Addresses
Primary practice location
10605 Quinn St
Shirley, IL 61772
Mailing address
PO Box 547
Wheeling, IL 60090-0547
Phone (772) 001-1918
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.