Organization Active NPI

Woodstock Fire/Rescue District

  • Paramedic
  • Woodstock, IL
National Provider Identifier
1447269832
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
7 149 0 Issued in IL
Legal business name
WOODSTOCK FIRE/RESCUE DISTRICT
Practice address
435 E Judd St
Woodstock, IL 60098-3419
Phone
(815) 338-2621
Fax
(815) 334-2010
NPI assigned
Aug 5, 2006
Last updated
Sep 8, 2025By the provider in NPPES
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
Brendan Parker
Title
Fire Chief
Phone
(815) 338-2621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 7 149 0 IL Primary

Addresses

Primary practice location

435 E Judd St
Woodstock, IL 60098-3419

Mailing address

PO Box 6253
Attn: Kimberly Fuller
Carol Stream, IL 60197-6253
Phone (630) 530-2988

Other identifiers 1

IdentifierTypeStateIssuer
05620987OtherILBCBS OF ILL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120214000109 IL Part B Supplier - Ambulance Service Supplier 5799942157 Practice locations: Woodstock, IL

National Provider Directory

National Provider Directory

Locations

2900 Raffel Rd
Woodstock, IL 60098
Phone (815) 337-2330

435 E Judd St
Woodstock, IL 60098
Phone (815) 338-2621

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1447269832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6253",
            "address_2": "ATTN: KIMBERLY FULLER",
            "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": "435 E JUDD ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983419",
            "telephone_number": "815-338-2621",
            "fax_number": "815-334-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK FIRE/RESCUE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-338-2621"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "IL",
            "license": "7 149 0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILL",
            "identifier": "05620987",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, 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.