Bristol Kendall Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

97283 Issued in IL

Legal business name

BRISTOL KENDALL FIRE PROTECTION DISTRICT

Practice address

103 Beaver St
Yorkville, IL 60560-1704

Phone

(630) 553-5796

Fax

(630) 553-6236

NPI assigned

Aug 15, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Timothy John Fairfield

Title

Assistant Chief

Phone

(630) 553-6186

Specialties & licenses 1

Addresses

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": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891787032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BEAVER ST",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601704",
            "telephone_number": "630-553-5796",
            "fax_number": "630-553-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BEAVER ST",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601704",
            "telephone_number": "630-553-5796",
            "fax_number": "630-553-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL KENDALL FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAIRFIELD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "630-553-6186",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "97283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Yorkville, IL
• Providers in Yorkville, IL by specialty
• Land Ambulance in Illinois

• 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.