Active NPI
Prospect Heights Fire Protection District
- Land Ambulance
- Prospect Heights, IL
National Provider Identifier
1174565998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 8195
- Legal business name
- PROSPECT HEIGHTS FIRE PROTECTION DISTRICT
- Practice address
- 10 E Camp McDonald Rd
Prospect Heights, IL 60070-1505 - Phone
- (847) 253-8060
- Fax
- (847) 253-4759
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Smith Drew Jr.
- Title
- Fire Chief
- Phone
- (847) 253-8060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 8195 | IL | Primary |
Addresses
Primary practice location
10 E Camp McDonald Rd
Prospect Heights, IL 60070-1505
Mailing address
PO Box 457
Wheeling, IL 60090-0457
Phone (847) 577-8811
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1671223 | Other | IL | BCBS |
| 590015175 | Other | IL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120223000037 | IL | Part B Supplier - Ambulance Service Supplier | 9739347683 | Practice locations: Prospect Heights, IL |
National Provider Directory
National Provider DirectoryLocations
10 E Camp McDonald Rd
Prospect Heights, IL 60070
Phone (847) 253-8060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716854400000",
"number": "1174565998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 457",
"city": "WHEELING",
"state": "IL",
"postal_code": "600900457",
"telephone_number": "847-577-8811",
"fax_number": "847-577-7967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 E CAMP MCDONALD RD",
"city": "PROSPECT HEIGHTS",
"state": "IL",
"postal_code": "600701505",
"telephone_number": "847-253-8060",
"fax_number": "847-253-4759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSPECT HEIGHTS FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A",
"authorized_official_last_name": "DREW",
"authorized_official_first_name": "SMITH",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "847-253-8060",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "8195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1671223",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590015175",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prospect Heights, IL
- Pathway to Hope Therapeutic Services
- Uday Balkrishna Phatak, DDS
- Physicians for Natural Healing and Rehabilitation
- Prime Care Seven, LLC
- Prospect Heights Family Dental
- Prospect Heights Operations LLC
- Prospect Heights School District 23
- Laeeq Rai
- Rebecca J Reynolds, MA, EDD
- S-H Opco Prospect Heights, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.