Active NPI
Village of Robbins
- Ambulance
- Robbins, IL
National Provider Identifier
1053942920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- VILLAGE OF ROBBINS
- Practice address
- 3327 W 137TH Street
Robbins, IL 60472-1636 - Phone
- (708) 385-8940
- NPI assigned
- Jan 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vana Stewart Woods Jr.
- Title
- Fire Chief
- Phone
- (708) 577-8876
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
3327 W 137TH Street
Robbins, IL 60472-1636
Mailing address
PO Box 1053
Mokena, IL 60448-2052
Phone (708) 478-5694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201113000415 | IL | Part B Supplier - Ambulance Service Supplier | 6709296130 | Practice locations: Robbins, IL |
National Provider Directory
National Provider DirectoryLocations
3327 W 137th St
Robbins, IL 60472
Phone (708) 385-8940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580342400000",
"number": "1053942920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1053",
"city": "MOKENA",
"state": "IL",
"postal_code": "604482052",
"telephone_number": "708-478-5694",
"fax_number": "708-478-5879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3327 W 137TH STREET",
"city": "ROBBINS",
"state": "IL",
"postal_code": "604721636",
"telephone_number": "708-385-8940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF ROBBINS",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-30",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A",
"authorized_official_last_name": "WOODS",
"authorized_official_first_name": "VANA",
"authorized_official_middle_name": "STEWART",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "708-577-8876",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Robbins, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.