Organization Active NPI

Hinckley Fire Protection District

  • Land Ambulance
  • Hinckley, IL
National Provider Identifier
1679800114
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1015 Issued in IL
Legal business name
HINCKLEY FIRE PROTECTION DISTRICT
Practice address
911 N Sycamore St
Hinckley, IL 60520-0000
Phone
(815) 286-7711
Fax
(815) 286-3216
NPI assigned
Nov 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Jay Vanlanduyt
Title
Fire Chief
Phone
(815) 286-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1015 IL Primary

Addresses

Primary practice location

911 N Sycamore St
Hinckley, IL 60520-0000

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100825000478 IL Part B Supplier - Ambulance Service Supplier 0042334278 Practice locations: Hinckley, IL

National Provider Directory

National Provider Directory

Locations

911 N Sycamore St
Hinckley, IL 60520
Phone (815) 286-7711

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1679800114",
    "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": "847-577-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N SYCAMORE ST",
            "city": "HINCKLEY",
            "state": "IL",
            "postal_code": "605200000",
            "telephone_number": "815-286-7711",
            "fax_number": "815-286-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINCKLEY FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "VANLANDUYT",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-286-7711"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "1015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinckley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.