Organization Active NPI

Sandwich Community Fire Protection District

  • Land Ambulance
  • Sandwich, IL
National Provider Identifier
1376566745
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
091425 Issued in IL
Legal business name
SANDWICH COMMUNITY FIRE PROTECTION DISTRICT
Practice address
310 E Railroad St
Sandwich, IL 60548
Phone
(815) 786-9241
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Derek Hagerty
Title
Fire Chief
Phone
(815) 786-9241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 091425 IL Primary

Addresses

Primary practice location

310 E Railroad St
Sandwich, IL 60548

Mailing address

PO Box 6253
Carol Stream, IL 60197-6253
Phone (630) 530-2988

Other names 1

  • Sandwich Fire Protection District Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120214000543 IL Part B Supplier - Ambulance Service Supplier 5193983583 Practice locations: Sandwich, IL

National Provider Directory

National Provider Directory

Locations

310 E Railroad St
Sandwich, IL 60548
Phone (708) 389-6689

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1376566745",
    "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": "310 E RAILROAD ST",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "60548",
            "telephone_number": "815-786-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDWICH COMMUNITY FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "HAGERTY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-786-9241"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "091425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandwich Fire Protection District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandwich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.