Organization Active NPI

Fox River Grove Fire Protection District

  • Land Ambulance
  • Fox River Grove, IL
National Provider Identifier
1477576833
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
7152 Issued in IL
Legal business name
FOX RIVER GROVE FIRE PROTECTION DISTRICT
Practice address
411 Algonquin Rd
Fox River Grove, IL 60021-1411
Phone
(847) 639-9232
Fax
(847) 639-3336
NPI assigned
Jul 26, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Kreher
Title
Fire Chief
Phone
(847) 639-9232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 7152 IL Primary

Addresses

Primary practice location

411 Algonquin Rd
Fox River Grove, IL 60021-1411

Mailing address

411 Algonquin Rd
Fox River Grove, IL 60021-1411
Phone (847) 639-9232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120307000650 IL Part B Supplier - Ambulance Service Supplier 2163681362 Practice locations: Fox River Grove, IL

National Provider Directory

National Provider Directory

Locations

400 Lucille Ave
Fox River Grove, IL 60021
Phone (847) 639-9232

411 Algonquin Rd
Fox River Grv, IL 60021
Phone (847) 639-9232

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1477576833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 ALGONQUIN RD",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "600211411",
            "telephone_number": "847-639-9232",
            "fax_number": "847-639-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 ALGONQUIN RD",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "600211411",
            "telephone_number": "847-639-9232",
            "fax_number": "847-639-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX RIVER GROVE FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KREHER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "847-639-9232"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "7152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fox River Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.