Healthcare Provider Details

I. General information

NPI: 1285677450
Provider Name (Legal Business Name): RICHMOND TOWNSHIP FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 HUNTER DR
RICHMOND IL
60071-4100
US

IV. Provider business mailing address

PO BOX 457
WHEELING IL
60090-0457
US

V. Phone/Fax

Practice location:
  • Phone: 815-271-1367
  • Fax: 815-678-2042
Mailing address:
  • Phone: 336-518-6343
  • Fax: 336-510-5893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number7135
License Number StateIL

VIII. Authorized Official

Name: JIM PRICKETT
Title or Position: FIRE CHIEF
Credential:
Phone: 815-678-3672