Organization Active NPI

Fox River and Countryside Fire Rescue District

  • Land Ambulance
  • St Charles, IL
National Provider Identifier
1942507355
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
FOX RIVER AND COUNTRYSIDE FIRE RESCUE DISTRICT
Practice address
35W350 Carl Lee Road
St Charles, IL 60175
Phone
(630) 584-3473
Fax
(630) 584-8266
NPI assigned
Feb 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Jason Parthun
Title
Trustee
Phone
(847) 815-2741

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

35W350 Carl Lee Road
St Charles, IL 60175

Mailing address

34W500 Carl Lee Rd
St Charles, IL 60174-5603
Phone (630) 530-2988

Other identifiers 1

IdentifierTypeStateIssuer
=========OtherILPUBLIC AID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110826000719 IL Part B Supplier - Ambulance Service Supplier 9234309303 Practice locations: St Charles, IL

National Provider Directory

National Provider Directory

Locations

40W361 State Route 64
St Charles, IL 60175
Phone (630) 584-3473

34W500 Carl Lee Rd
St Charles, IL 60174
Phone (630) 584-3473

NPI Registry JSON

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1942507355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34W500 CARL LEE RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601745603",
            "telephone_number": "630-530-2988",
            "fax_number": "630-903-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35W350 CARL LEE ROAD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "60175",
            "telephone_number": "630-584-3473",
            "fax_number": "630-584-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX RIVER AND COUNTRYSIDE FIRE RESCUE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2023-07-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "PARTHUN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "847-815-2741"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC AID",
            "identifier": "=========",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.