MEDICARE: RICHMOND TOWNSHIP FIRE PROTECTION DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	7135	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590014270	OTHER	IL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	5623100	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1285677450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHMOND TOWNSHIP FIRE PROTECTION DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 457
Second Line	:
City	:	WHEELING
State	:	IL
Zip	:	60090-0457
Country	:	US
Telephone Number	:	336-518-6343
Fax Number	:	336-510-5893

Provider Business Practice Location Address
First Line	:	5601 HUNTER DR
Second Line	:
City	:	RICHMOND
State	:	IL
Zip	:	60071-4100
Country	:	US
Telephone Number	:	815-271-1367
Fax Number	:	815-678-2042

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	JIM PRICKETT
Credential	:
Telephone Number	:	815-678-3672

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	10/31/2025

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Directions to “RICHMOND TOWNSHIP FIRE PROTECTION DISTRICT ” Practice Location

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