Organization Active NPI

Prospect Heights Fire Protection District

  • Land Ambulance
  • Prospect Heights, IL
National Provider Identifier
1174565998
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
8195 Issued in IL
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

Updated by the provider on May 28, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1671223OtherILBCBS
590015175OtherILRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120223000037 IL Part B Supplier - Ambulance Service Supplier 9739347683 Practice locations: Prospect Heights, IL

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.