Active NPI
New Lenox Fire Protection District
- Land Ambulance
- New Lenox, IL
National Provider Identifier
1386681377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 7122
- Legal business name
- NEW LENOX FIRE PROTECTION DISTRICT
- Practice address
- 261 E. Maple St
New Lenox, IL 60451 - Phone
- (815) 463-4500
- Fax
- (815) 485-3959
- NPI assigned
- May 31, 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
- Mr. Jonathan Lee Mead
- Title
- Chief
- Phone
- (815) 463-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 7122 | IL | Primary |
Addresses
Primary practice location
261 E. Maple St
New Lenox, IL 60451
Mailing address
PO Box 457
Wheeling, IL 60090-0457
Phone (847) 577-8811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9930127 | 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 |
|---|---|---|---|---|
| O20090325000349 | IL | Part B Supplier - Ambulance Service Supplier | 0244397966 | Practice locations: New Lenox, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2236198 | New Lenox Fire Protection District | Certificate of waiver | Sep 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
19819 S Schoolhouse Rd
New Lenox, IL 60451
Phone (815) 463-4504
261 E Maple St
New Lenox, IL 60451
Phone (815) 463-4500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323129600000",
"number": "1386681377",
"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": "847-577-3518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 E. MAPLE ST",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "60451",
"telephone_number": "815-463-4500",
"fax_number": "815-485-3959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LENOX FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2011-12-06",
"status": "A",
"authorized_official_last_name": "MEAD",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "815-463-4500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "7122",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "9930127",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.