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NPI Code Detail

MEDICARE: MONTGOMERY & COUNTRYSIDE FIRE PROTECTION DISTRICT

MEDICARE: MONTGOMERY & COUNTRYSIDE 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
13416L0300XLand Ambulance7241IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101725770OTHERILBCBS

General Provider Information

NPI Number : 1295774651
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONTGOMERY & COUNTRYSIDE 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 : 847-577-8811
Fax Number : 336-510-5893
Provider Business Practice Location Address
First Line : 198 S RAILROAD ST
Second Line :
City : MONTGOMERY
State : IL
Zip : 60538-1420
Country : US
Telephone Number : 630-897-0622
Fax Number : 630-897-3954
Authorized Official
Title or Position : FIRE CHIEF
Name : THOMAS MEYERS
Credential :
Telephone Number : 630-897-0622
Provider Enumeration Date : 06/04/2006
Last Update Date : 10/03/2025

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Directions to “MONTGOMERY & COUNTRYSIDE FIRE PROTECTION DISTRICT ” Practice Location

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