Provider Demographics
NPI:1801902507
Name:DARIEN WOODRIDGE FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:DARIEN WOODRIDGE FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-910-2200
Mailing Address - Street 1:395 W LAKE ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-1508
Mailing Address - Country:US
Mailing Address - Phone:630-903-1280
Mailing Address - Fax:630-910-2083
Practice Address - Street 1:7550 LYMAN AVE
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-4392
Practice Address - Country:US
Practice Address - Phone:630-910-2200
Practice Address - Fax:630-910-2083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL872113416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02220459OtherBCBS
IL590012463OtherRAILROAD MEDICARE
IL590012463OtherRAILROAD MEDICARE
IL=========001Medicaid