Active NPI
City of South Beloit
Doing business as South Beloit Fire Department
- Land Ambulance
- South Beloit, IL
National Provider Identifier
1295768364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1416
- Legal business name
- CITY OF SOUTH BELOIT
- Doing business as
- South Beloit Fire Department
- Practice address
- 519 Blackhawk Blvd
South Beloit, IL 61080-1977 - Phone
- (815) 389-3023
- Fax
- (815) 389-8830
- NPI assigned
- Jul 9, 2006
- Last updated
- Feb 20, 2026
- 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
- Don Elloit
- Title
- Finance Director
- Phone
- (815) 389-3023
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1416 | IL | Primary |
Addresses
Primary practice location
519 Blackhawk Blvd
South Beloit, IL 61080-1977
Mailing address
519 Blackhawk Blvd Ste 2
South Beloit, IL 61080-1977
Phone (847) 577-8811
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10119295 | Other | IL | BCBS |
| 590008426 | Other | IL | RR MEDICARE |
Other names 1
- South Beloit Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081009000786 | IL | Part B Supplier - Ambulance Service Supplier | 3779651203 | Practice locations: South Beloit, IL |
National Provider Directory
National Provider DirectoryLocations
429 Gardner St
South Beloit, IL 61080
Phone (815) 389-3097
519 Blackhawk Blvd
South Beloit, IL 61080
Phone (805) 389-3097
519 Blackhawk Blvd
Ste 2
South Beloit, IL 61080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771545600000",
"number": "1295768364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 BLACKHAWK BLVD STE 2",
"city": "SOUTH BELOIT",
"state": "IL",
"postal_code": "610801977",
"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": "519 BLACKHAWK BLVD",
"city": "SOUTH BELOIT",
"state": "IL",
"postal_code": "610801977",
"telephone_number": "815-389-3023",
"fax_number": "815-389-8830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF SOUTH BELOIT",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A",
"authorized_official_last_name": "ELLOIT",
"authorized_official_first_name": "DON",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "815-389-3023"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "1416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "10119295",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590008426",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "South Beloit Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Beloit, IL
- Diane Marie Brandlein, DDS
- Barbara Ann Bressler, DT
- Daniel Bressler, MT-BC
- James Earl Brooks I, M.S
- Denise C Burton, RN
- County of Winnebago SCH Dist 320 (South Beloit CUSD #320)
- County of Winnebago School District 320 (South Beloit CUSD 320)
- Taylor Rae Cross
- Crusaders Central Clinic Association (Crusader Community Health South Beloit Junior High School)
- Crusaders Central Clinic Association (Crusader Community Health South Beloit High School)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.