South Park Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7234 Issued in IL

Legal business name

SOUTH PARK FIRE PROTECTION DISTRICT

Practice address

599 Montgomery Rd
Montgomery, IL 60538-1729

Phone

(630) 898-3222

Fax

(630) 898-3221

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Kurt Delles

Title

Fire Chief

Phone

(630) 898-3222

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1841233012",
    "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": "847-577-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 MONTGOMERY RD",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605381729",
            "telephone_number": "630-898-3222",
            "fax_number": "630-898-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PARK FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DELLES",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "630-898-3222"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "7234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4521008",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Montgomery, IL
• Providers in Montgomery, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.