Fox Lake Fire Department

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

97261 Issued in IL

Legal business name

FOX LAKE FIRE DEPARTMENT

Practice address

395 W Lake St
Elmhurst, IL 60126-1508

Phone

(847) 587-8570

Fax

(847) 587-9711

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ron Hoehne

Title

Fire Chief

Phone

(847) 587-8570

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649285164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 W LAKE ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261508",
            "telephone_number": "630-530-2988",
            "fax_number": "630-903-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W LAKE ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261508",
            "telephone_number": "847-587-8570",
            "fax_number": "847-587-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX LAKE FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOEHNE",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "847-587-8570",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "97261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "049-15094",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.