Organization Active NPI

Rutland Dundee Fire Protection District

  • Ambulance
  • Gilberts, IL
National Provider Identifier
1669558706
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
RUTLAND DUNDEE FIRE PROTECTION DISTRICT
Practice address
11 E Higgins Rd
Gilberts, IL 60136-0203
Phone
(847) 426-2522
NPI assigned
Oct 31, 2006
Last updated
Feb 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Tracy Rady, CPC
Title
Billing
Phone
(847) 429-0571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

11 E Higgins Rd
Gilberts, IL 60136-0203

Mailing address

PO Box 203
Gilberts, IL 60136-0203
Phone (847) 426-2522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420000938 IL Part B Supplier - Ambulance Service Supplier 5597750240 Practice locations: Gilberts, IL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1669558706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "GILBERTS",
            "state": "IL",
            "postal_code": "601360203",
            "telephone_number": "847-426-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E HIGGINS RD",
            "city": "GILBERTS",
            "state": "IL",
            "postal_code": "601360203",
            "telephone_number": "847-426-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTLAND DUNDEE FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "RADY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "847-429-0571",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilberts, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.