Organization Active NPI

Montgomery & Countryside Fire Protection District

  • Land Ambulance
  • Montgomery, IL
National Provider Identifier
1295774651
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
7241 Issued in IL
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

Updated by the provider on Oct 3, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01725770OtherILBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120309000678 IL Part B Supplier - Ambulance Service Supplier 3577722537 Practice locations: Montgomery, IL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.