Chadwick Fire Protection District
Organization Active NPI Ambulance · Chadwick, IL
NPI 1902072002 · NPPES record last updated Apr 22, 2009
Key facts
- NPI
- 1902072002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 1 102401 (IL)
- Legal business name
- CHADWICK FIRE PROTECTION DISTRICT
- Practice address
- 210 Calvert St
Chadwick, IL 61014-0064 - Phone
- (815) 684-5112
- NPI assigned
- May 8, 2008
- Organization subpart
- No
Authorized official
- Name
- Bradley Aude
- Title
- Fire Chief
- Phone
- (815) 684-5112
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080711000136 | IL | Part B Supplier - Ambulance Service Supplier | 3870665573 | Practice locations: Chadwick, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1 102401 | IL | Yes |
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
- Chadwick Fire Protection District
Other providers in Chadwick, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.