Organization Active NPI

Elwood Fire Protection District

  • Land Ambulance
  • Elwood, IL
National Provider Identifier
1235144734
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
77827 Issued in IL
Legal business name
ELWOOD FIRE PROTECTION DISTRICT
Practice address
309 W Mississippi St
Elwood, IL 60421-9211
Phone
(815) 423-5224
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher Locacius
Title
Fire Chief
Phone
(815) 423-5224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 77827 IL Primary

Addresses

Primary practice location

309 W Mississippi St
Elwood, IL 60421-9211

Mailing address

309 W Mississippi Ave
Elwood, IL 60421-9211
Phone (815) 423-5224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090302000468 IL Part B Supplier - Ambulance Service Supplier 7214093152 Practice locations: Elwood, IL

National Provider Directory

National Provider Directory

Locations

309 W Mississippi Ave
Elwood, IL 60421
Phone (815) 423-5224

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1235144734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W MISSISSIPPI AVE",
            "city": "ELWOOD",
            "state": "IL",
            "postal_code": "604219211",
            "telephone_number": "815-423-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W MISSISSIPPI ST",
            "city": "ELWOOD",
            "state": "IL",
            "postal_code": "604219211",
            "telephone_number": "815-423-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELWOOD FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "LOCACIUS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-423-5224"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "77827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.