Active NPI
Darien Woodridge Fire Protection District
- Land Ambulance
- Darien, IL
National Provider Identifier
1801902507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 87211
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02220459 | Other | IL | BCBS |
| 590012463 | Other | IL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090128000202 | IL | Part B Supplier - Ambulance Service Supplier | 2769546241 | Practice locations: Darien, IL; Downers Grove, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2238239 | Darien-Woodridge Fire District | Certificate of waiver | Sep 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.