Active NPI
Boone County Rural Fire Protection District Number Two
- Land Ambulance
- Belvidere, IL
National Provider Identifier
1346415965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- BOONE COUNTY RURAL FIRE PROTECTION DISTRICT NUMBER TWO
- Practice address
- 1777 Henry Luckow LN
Belvidere, IL 61008-1702 - Phone
- (815) 544-3336
- Fax
- (815) 544-4682
- NPI assigned
- Apr 24, 2008
- 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
- Brian Kunce
- Title
- Financial
- Phone
- (815) 544-3336
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1777 Henry Luckow LN
Belvidere, IL 61008-1702
Mailing address
PO Box 6253
Carol Stream, IL 60197-6253
Phone (630) 530-2988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231027001606 | IL | Part B Supplier - Ambulance Service Supplier | 5799131728 | Practice locations: Belvidere, IL |
National Provider Directory
National Provider DirectoryLocations
1777 Henry Luckow Ln
Belvidere, IL 61008
Phone (815) 544-3336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695945600000",
"number": "1346415965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6253",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601976253",
"telephone_number": "630-530-2988",
"fax_number": "630-832-9750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 HENRY LUCKOW LN",
"city": "BELVIDERE",
"state": "IL",
"postal_code": "610081702",
"telephone_number": "815-544-3336",
"fax_number": "815-544-4682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOONE COUNTY RURAL FIRE PROTECTION DISTRICT NUMBER TWO",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-24",
"last_updated": "2023-09-29",
"certification_date": "2023-09-06",
"status": "A",
"authorized_official_last_name": "KUNCE",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "FINANCIAL",
"authorized_official_telephone_number": "815-544-3336"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belvidere, IL
- Alfredo Daniel Bizzocchi
- Jeremiah Blaser, PT, DPT
- Board of Trustees of the University of Illinois (University Primary Care Clinic at Belvidere)
- Boone County Council on Aging
- Boone County Council on Aging
- Boone County Special Ed Coop
- Boone County Special Ed Coop
- Ryen Bostick, DPT
- Samantha Elizabeth Bradley, D.C.
- Jaci Carolynn Brantley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.