Organization Active NPI

Lockport Township Fire Protection District

  • Ambulance
  • Lockport, IL
National Provider Identifier
1710947387
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1659902 Issued in IL
Legal business name
LOCKPORT TOWNSHIP FIRE PROTECTION DISTRICT
Practice address
828 E 9TH St
Lockport, IL 60441-3600
Phone
(815) 838-3287
Fax
(815) 838-9141
NPI assigned
Mar 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert R Cronholm
Title
Fire Chief
Phone
(815) 838-3287

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1659899 IL
Ambulance 341600000X 1659900 IL
Ambulance 341600000X 1659901 IL
Ambulance 341600000X 1659902 IL Primary
Ambulance 341600000X 1659903 IL

Addresses

Primary practice location

828 E 9TH St
Lockport, IL 60441-3600

Mailing address

828 E 9TH St
Lockport, IL 60441-3600
Phone (815) 838-3287

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040510000819 IL Part B Supplier - Ambulance Service Supplier 6103815659 Practice locations: Lockport, IL; Romeoville, IL; Crest Hill, IL

National Provider Directory

National Provider Directory

Locations

1601 Root St
Crest Hill, IL 60403
Phone (815) 729-1460

17400 W Bruce Rd
Lockport, IL 60441
Phone (815) 727-3565

19623 Renwick Rd
Lockport, IL 60441
Phone (815) 834-8800

828 E 9th St
Lockport, IL 60441
Phone (815) 838-3242

332 S Ohare Dr
Romeoville, IL 60446
Phone (815) 836-3620

390 N Weber Rd
Romeoville, IL 60446
Phone (812) 372-2941

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710947387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 E 9TH ST",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413600",
            "telephone_number": "815-838-3287",
            "fax_number": "815-838-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 E 9TH ST",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413600",
            "telephone_number": "815-838-3287",
            "fax_number": "815-838-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKPORT TOWNSHIP FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRONHOLM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-838-3287",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "1659899",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "1659900",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "1659901",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "1659902",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "1659903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.