Organization Active NPI

City of South Beloit

Doing business as South Beloit Fire Department

  • Land Ambulance
  • South Beloit, IL
National Provider Identifier
1295768364
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1416 Issued in IL
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10119295OtherILBCBS
590008426OtherILRR MEDICARE

Other names 1

  • South Beloit Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081009000786 IL Part B Supplier - Ambulance Service Supplier 3779651203 Practice locations: South Beloit, IL

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.