Organization Active NPI

Darien Woodridge Fire Protection District

  • Land Ambulance
  • Darien, IL
National Provider Identifier
1801902507
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
87211 Issued in IL
Legal business name
DARIEN WOODRIDGE FIRE PROTECTION DISTRICT
Practice address
7550 Lyman Ave
Darien, IL 60561-4392
Phone
(630) 910-2200
Fax
(630) 910-2083
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Mr. David Lambright
Title
Fire Chief
Phone
(630) 910-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 87211 IL Primary

Addresses

Primary practice location

7550 Lyman Ave
Darien, IL 60561-4392

Mailing address

395 W Lake St
Elmhurst, IL 60126-1508
Phone (630) 903-1280

Other identifiers 2

IdentifierTypeStateIssuer
02220459OtherILBCBS
590012463OtherILRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090128000202 IL Part B Supplier - Ambulance Service Supplier 2769546241 Practice locations: Darien, IL; Downers Grove, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2238239Darien-Woodridge Fire District7550 Lyman Ave, Darien, IL 60561Certificate of waiverSep 30, 2027

National Provider Directory

National Provider Directory

Locations

7550 Lyman Ave
Darien, IL 60561
Phone (630) 832-2012

8687 Lemont Rd
Downers Grove, IL 60516
Phone (630) 910-2211

5901 Belmont Rd
Downers Grove, IL 60516
Phone (630) 910-2210

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1801902507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 W LAKE ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261508",
            "telephone_number": "630-903-1280",
            "fax_number": "630-910-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 LYMAN AVE",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605614392",
            "telephone_number": "630-910-2200",
            "fax_number": "630-910-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARIEN WOODRIDGE FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "LAMBRIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "630-910-2200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "87211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02220459",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590012463",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.