Active NPI
Eureka Fire Protection District
- Land Ambulance
- Eureka, IL
National Provider Identifier
1447279641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2500
- Legal business name
- EUREKA FIRE PROTECTION DISTRICT
- Practice address
- 211 N Main St
Eureka, IL 61530-1158 - Phone
- (309) 467-6181
- Fax
- (309) 467-2904
- NPI assigned
- Jul 19, 2006
- Last updated
- Sep 8, 2025
- 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
- Randy L Wolfe
- Title
- Fire Chief
- Phone
- (309) 467-6181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2500 | IL | Primary |
Addresses
Primary practice location
211 N Main St
Eureka, IL 61530-1158
Mailing address
PO Box 6253
Carol Stream, IL 60197-6253
Phone (630) 530-2988
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10232003 | Other | IL | BCBS |
| 590015210 | Other | IL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040413000396 | IL | Part B Supplier - Ambulance Service Supplier | 8224022215 | Practice locations: Eureka, IL; Goodfield, 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 |
|---|---|---|---|
| 14D0876835 | Eureka-Goodfield Fire Protection District | Certificate of waiver | Sep 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
211 N Main St
Eureka, IL 61530
Phone (309) 466-6181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757289600000",
"number": "1447279641",
"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": "211 N MAIN ST",
"city": "EUREKA",
"state": "IL",
"postal_code": "615301158",
"telephone_number": "309-467-6181",
"fax_number": "309-467-2904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EUREKA FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A",
"authorized_official_last_name": "WOLFE",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "309-467-6181"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "2500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "10232003",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590015210",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, 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.
- 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.