Organization Active NPI

New Lenox Fire Protection District

  • Land Ambulance
  • New Lenox, IL
National Provider Identifier
1386681377
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
7122 Issued in IL
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

Updated by the provider on Dec 6, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9930127OtherILBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090325000349 IL Part B Supplier - Ambulance Service Supplier 0244397966 Practice locations: New Lenox, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2236198New Lenox Fire Protection District261 E Maple St, New Lenox, IL 60451Certificate of waiverSep 14, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.