# CHANNAHON FIRE PROTECTION DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396750147
- **Authorized official:** JACQUELYN M ARNOLD (EXECUTIVE FIRE SUPPORT MANAGER)
- **Authorized official phone:** (815) 467-6767

## Contact information

- **Practice address:** 24929 S CENTER ST, CHANNAHON, IL 60410-5009
- **Practice address phone:** (630) 530-2988
- **Practice address fax:** (630) 903-2830
- **Mailing address:** PO BOX 6253, CAROL STREAM, IL 60197-6253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 77126 | IL | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 05/28/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09923215 | BCBS | IL |
| 01 | — | 590013850 | MEDICARE RAILROAD | IL |
| 01 | — | 611797900 | DOL OWCP | IL |