Active NPI
Montgomery & Countryside Fire Protection District
- Land Ambulance
- Montgomery, IL
National Provider Identifier
1295774651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 7241
- Legal business name
- MONTGOMERY & COUNTRYSIDE FIRE PROTECTION DISTRICT
- Practice address
- 198 S Railroad St
Montgomery, IL 60538-1420 - Phone
- (630) 897-0622
- Fax
- (630) 897-3954
- NPI assigned
- Jun 4, 2006
- 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
- Thomas Meyers
- Title
- Fire Chief
- Phone
- (630) 897-0622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 7241 | IL | Primary |
Addresses
Primary practice location
198 S Railroad St
Montgomery, IL 60538-1420
Mailing address
PO Box 457
Wheeling, IL 60090-0457
Phone (847) 577-8811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01725770 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120309000678 | IL | Part B Supplier - Ambulance Service Supplier | 3577722537 | Practice locations: Montgomery, IL |
National Provider Directory
National Provider DirectoryLocations
198 S Railroad St
Montgomery, IL 60538
Phone (630) 897-0622
879 Knell St
Montgomery, IL 60538
Phone (630) 897-3962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759449600000",
"number": "1295774651",
"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": "336-510-5893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 S RAILROAD ST",
"city": "MONTGOMERY",
"state": "IL",
"postal_code": "605381420",
"telephone_number": "630-897-0622",
"fax_number": "630-897-3954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTGOMERY & COUNTRYSIDE FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A",
"authorized_official_last_name": "MEYERS",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "630-897-0622"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "7241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01725770",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.