Organization Active NPI

Bensenville Fire Protection

  • Land Ambulance
  • Bensenville, IL
National Provider Identifier
1629102546
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
08 7021 Issued in IL
Legal business name
BENSENVILLE FIRE PROTECTION
Practice address
500 S York Rd
Bensenville, IL 60106-3020
Phone
(630) 350-3441
Fax
(630) 350-3421
NPI assigned
Mar 15, 2007
Last updated
Sep 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Douglas Halverson
Title
Fire Chief
Phone
(630) 350-3441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 08 7021 IL Primary

Addresses

Primary practice location

500 S York Rd
Bensenville, IL 60106-3020

Mailing address

500 S York Rd
Bensenville, IL 60106-3020
Phone (630) 350-3441

Other names 1

  • Bensenville Fire Department Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100107000150 IL Part B Supplier - Ambulance Service Supplier 0345381711 Practice locations: Bensenville, IL

National Provider Directory

National Provider Directory

Locations

500 S York Rd
Bensenville, IL 60106
Phone (630) 350-3441

700 Foster Ave
Bensenville, IL 60106
Phone (630) 350-3441

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1629102546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S YORK RD",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063020",
            "telephone_number": "630-350-3441",
            "fax_number": "630-350-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S YORK RD",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063020",
            "telephone_number": "630-350-3441",
            "fax_number": "630-350-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSENVILLE FIRE PROTECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "HALVERSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "630-350-3441"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "08 7021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bensenville Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bensenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.