Organization Active NPI

Lincolnshire Riverwoods Fire Protection District

  • Land Ambulance
  • Lincolnshire, IL
National Provider Identifier
1679514541
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
7966 Issued in IL
Legal business name
LINCOLNSHIRE RIVERWOODS FIRE PROTECTION DISTRICT
Practice address
115 Schelter Rd
Lincolnshire, IL 60069-3603
Phone
(847) 634-2512
Fax
(847) 634-2572
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Fred Kruger
Title
Fire Chief
Phone
(847) 634-2512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 7966 IL Primary

Addresses

Primary practice location

115 Schelter Rd
Lincolnshire, IL 60069-3603

Mailing address

PO Box 457
Wheeling, IL 60090-0457
Phone (847) 577-8811

Other identifiers 3

IdentifierTypeStateIssuer
590013643OtherILRR MEDICARE
612192900OtherILDEPT OF LABOR OWCP
4921937OtherILBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120130000560 IL Part B Supplier - Ambulance Service Supplier 4385801653 Practice locations: Lincolnshire, IL; Riverwoods, IL; Vernon Hills, IL

National Provider Directory

National Provider Directory

Locations

115 Schelter Rd
Lincolnshire, IL 60069
Phone (847) 634-2512

855 Saunders Rd
Riverwoods, IL 60015
Phone (847) 236-9416

3705 Deerfield Rd
#4062
Riverwoods, IL 60015

671 Woodlands Pkwy
Vernon Hills, IL 60061
Phone (847) 276-2451

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1679514541",
    "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": "115 SCHELTER RD",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693603",
            "telephone_number": "847-634-2512",
            "fax_number": "847-634-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLNSHIRE RIVERWOODS FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "KRUGER",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "847-634-2512"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "7966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590013643",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR OWCP",
            "identifier": "612192900",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4921937",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.