Active NPI
Lisle-Woodridge Fire Protection District
- Ambulance
- Lisle, IL
National Provider Identifier
1982663290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 8 7575
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002283029 | Other | IL | BLUE CROS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120307000574 | IL | Part B Supplier - Ambulance Service Supplier | 6406015692 | Practice locations: Lisle, IL; Woodridge, IL |
National Provider Directory
National Provider DirectoryLocations
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.