Organization Active NPI

Chadwick Fire Protection District

  • Ambulance
  • Chadwick, IL
National Provider Identifier
1902072002
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1 102401 Issued in IL
Legal business name
CHADWICK FIRE PROTECTION DISTRICT
Doing business as
Chadwick Fire Protection District
Practice address
210 Calvert St
Chadwick, IL 61014-0064
Phone
(815) 684-5112
NPI assigned
May 8, 2008
Last updated
Apr 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Bradley Aude
Title
Fire Chief
Phone
(815) 684-5112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1 102401 IL Primary

Addresses

Primary practice location

210 Calvert St
Chadwick, IL 61014-0064

Mailing address

PO Box 64
Chadwick, IL 61014-0064
Phone (815) 684-5112

Other names 1

  • Chadwick Fire Protection District Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080711000136 IL Part B Supplier - Ambulance Service Supplier 3870665573 Practice locations: Chadwick, IL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1902072002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64",
            "city": "CHADWICK",
            "state": "IL",
            "postal_code": "610140064",
            "telephone_number": "815-684-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CALVERT ST",
            "city": "CHADWICK",
            "state": "IL",
            "postal_code": "610140064",
            "telephone_number": "815-684-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHADWICK FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "AUDE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-684-5112"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "1 102401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chadwick Fire Protection District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chadwick, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.