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COUNTRYSIDE FIRE PROTECTION DIST NPI 1407872831


NPI Information

NPI: 1407872831
Provider Name: COUNTRYSIDE FIRE PROTECTION DIST
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
600 N DEERPATH DR
VERNON HILLS, IL
ZIP 60061
Phone: (847) 367-5511
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COUNTRYSIDE FIRE PROTECTION DIST is a land transport ambulance in Vernon Hills, IL. COUNTRYSIDE FIRE PROTECTION DIST NPI is 1407872831. The provider is registered as an organization entity type.

The provider's business location address is:

600 N DEERPATH DR
VERNON HILLS, IL
ZIP 60061-804
Phone: (847) 367-5511
Fax: (847) 367-5521

The provider's authorized official is Charles Smith .
The authorized official title is Fire Chief and has the following contact phone number (847) 367-5511.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 4/6/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand Transport7273ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1132911900OTHERILLINOISDOL OWCP
2590013813OTHERILLINOISRR MEDICARE
34971120OTHERILLINOISBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.