Organization Active NPI

North Park Fire Protection District

  • Land Ambulance
  • Machesney Park, IL
National Provider Identifier
1295400901
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NORTH PARK FIRE PROTECTION DISTRICT
Practice address
600 Wood Ave
Machesney Park, IL 61115-3739
Phone
(815) 636-3051
Fax
(815) 633-3760
NPI assigned
Aug 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Joel Hallstrom
Title
Chief
Phone
(815) 636-3051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

600 Wood Ave
Machesney Park, IL 61115-3739

Mailing address

600 Wood Ave
Machesney Park, IL 61115-3739
Phone (815) 636-3051

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211011002705 IL Part B Supplier - Ambulance Service Supplier 3577961283 Practice locations: Machesney Park, IL

National Provider Directory

National Provider Directory

Locations

600 Wood Ave
Machesney Pk, IL 61115
Phone (815) 395-4695

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1295400901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WOOD AVE",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611153739",
            "telephone_number": "815-636-3051",
            "fax_number": "815-633-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WOOD AVE",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611153739",
            "telephone_number": "815-636-3051",
            "fax_number": "815-633-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PARK FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "HALLSTROM",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "815-636-3051"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Machesney Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.