Active NPI
Fox River and Countryside Fire Rescue District
- Land Ambulance
- St Charles, IL
National Provider Identifier
1942507355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ========= | Other | IL | PUBLIC AID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110826000719 | IL | Part B Supplier - Ambulance Service Supplier | 9234309303 | Practice locations: St Charles, IL |
National Provider Directory
National Provider DirectoryLocations
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.