Rutland Dundee Fire Protection District

Organization Active NPI Ambulance · Gilberts, IL

NPI 1669558706 · NPPES record last updated Feb 13, 2013

Key facts

NPI
1669558706
Entity type
Organization (NPI type 2)
Primary specialty
Ambulance 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
Organization subpart
No

Authorized official

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Yes

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

Other providers in Gilberts, IL

All providers in Gilberts, IL · Ambulance in Illinois

Sources for this page

Verify at the official NPI Registry.