Carol Stream Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7254 Issued in IL

Legal business name

CAROL STREAM FIRE PROTECTION DISTRICT

Practice address

365 Kuhn Rd
Carol Stream, IL 60188-4707

Phone

(630) 668-4836

Fax

(630) 668-4877

NPI assigned

Jun 1, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Bodane

Title

Chief

Phone

(630) 668-4836

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1710924253",
    "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": "847-577-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 KUHN RD",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601884707",
            "telephone_number": "630-668-4836",
            "fax_number": "630-668-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL STREAM FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BODANE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "630-668-4836"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "7254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2221561",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cardia Counseling Center, Inc.
• Caremaxdme LLC
• Caring Heavenly Hands (ComForcare Senior Service-Dupage)
• Imelda S Carlos, MD FAAP
• Carol Stream Dental Associates
• Carol Stream Medical PLLC
• Carol Stream Pharmacy P.C
• Carol Stream Vision Center
• John Thomas Carroll, M.D.
• Erica Carter

• Land Ambulance in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.