NPIMap

Organization Active NPI

Cullom Fire Protection District

  • Land Ambulance
  • Cullom, IL
National Provider Identifier
1922014984
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
26725 Issued in IL
Legal business name
CULLOM FIRE PROTECTION DISTRICT
Practice address
107 S. Maple
Cullom, IL 60929
Phone
(815) 689-2241
Fax
(815) 689-2355
NPI assigned
Jul 31, 2006
Last updated
Jan 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Mr. Carl Krause
Title
Fire Chief
Phone
(815) 689-2241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 26725 IL Primary

Addresses

Primary practice location

107 S. Maple
Cullom, IL 60929

Mailing address

395 W Lake St
Elmhurst, IL 60126-1508
Phone (630) 903-2372

Other identifiers 2

IdentifierTypeStateIssuer
05332009OtherILBCBS
590011853OtherILRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1922014984",
    "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": "630-903-2372",
            "fax_number": "630-903-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S. MAPLE",
            "city": "CULLOM",
            "state": "IL",
            "postal_code": "60929",
            "telephone_number": "815-689-2241",
            "fax_number": "815-689-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLOM FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-689-2241",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "26725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05332009",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590011853",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullom, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.