Active NPI
Sandwich Community Fire Protection District
- Land Ambulance
- Sandwich, IL
National Provider Identifier
1376566745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 091425
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120214000543 | IL | Part B Supplier - Ambulance Service Supplier | 5193983583 | Practice locations: Sandwich, IL |
National Provider Directory
National Provider DirectoryLocations
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.