Active NPI
Tri State Fire Protection District
- Land Ambulance
- Darien, IL
National Provider Identifier
1558394197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 7124
- Legal business name
- TRI STATE FIRE PROTECTION DISTRICT
- Practice address
- 419 Plainfield Rd
Darien, IL 60561-4207 - Phone
- (630) 323-6445
- NPI assigned
- Jul 8, 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
- Al Hagy
- Title
- Chief Administrator
- Phone
- (630) 323-6445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 7124 | IL | Primary |
Addresses
Primary practice location
419 Plainfield Rd
Darien, IL 60561-4207
Mailing address
PO Box 457
Wheeling, IL 60090-0457
Phone (847) 577-8811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2232471 | 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 |
|---|---|---|---|---|
| O20070921000211 | IL | Part B Supplier - Ambulance Service Supplier | 2264526250 | Practice locations: Willowbrook, IL; Willow Springs, IL; Darien, IL; Burr Ridge, IL |
National Provider Directory
National Provider DirectoryLocations
419 Plainfield Rd
Darien, IL 60561
Phone (630) 323-6445
236 Sunrise Ave
Willowbrook, IL 60527
Phone (630) 323-6445
6301 Western Ave
Willowbrook, IL 60527
Phone (630) 323-6445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1558394197",
"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": "847-577-7967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 PLAINFIELD RD",
"city": "DARIEN",
"state": "IL",
"postal_code": "605614207",
"telephone_number": "630-323-6445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI STATE FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "HAGY",
"authorized_official_first_name": "AL",
"authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
"authorized_official_telephone_number": "630-323-6445"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "7124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2232471",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Darien, 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.