Organization Active NPI

Lisle-Woodridge Fire Protection District

  • Ambulance
  • Lisle, IL
National Provider Identifier
1982663290
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
8 7575 Issued in IL
Legal business name
LISLE-WOODRIDGE FIRE PROTECTION DISTRICT
Practice address
1005 School St
Lisle, IL 60532-1866
Phone
(630) 353-3000
Fax
(630) 353-3095
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Daniel E. Anderson, EMS CHIEF
Title
EMS Chief
Phone
(630) 353-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 8 7575 IL Primary

Addresses

Primary practice location

1005 School St
Lisle, IL 60532-1866

Mailing address

1005 School St
Lisle, IL 60532-1866
Phone (630) 353-3000

Other identifiers 1

IdentifierTypeStateIssuer
0002283029OtherILBLUE CROS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120307000574 IL Part B Supplier - Ambulance Service Supplier 6406015692 Practice locations: Lisle, IL; Woodridge, IL

National Provider Directory

National Provider Directory

Locations

1005 School St
Lisle, IL 60532
Phone (630) 353-3000

2505 Green Trails Dr
Lisle, IL 60532
Phone (630) 548-9017

7393 Woodridge Dr
Woodridge, IL 60517
Phone (630) 968-2729

3101 Woodridge Dr
Woodridge, IL 60517
Phone (630) 968-7614

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982663290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 SCHOOL ST",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321866",
            "telephone_number": "630-353-3000",
            "fax_number": "630-353-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 SCHOOL ST",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321866",
            "telephone_number": "630-353-3000",
            "fax_number": "630-353-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISLE-WOODRIDGE FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "630-353-3000",
        "authorized_official_credential": "EMS CHIEF"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "8 7575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROS BLUE SHIELD",
            "identifier": "0002283029",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.