Organization Active NPI

Village of Romeoville

  • Land Ambulance
  • Romeoville, IL
National Provider Identifier
1285677468
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
7102 Issued in IL
Legal business name
VILLAGE OF ROMEOVILLE
Practice address
18 Montrose Dr
Romeoville, IL 60446-1370
Phone
(815) 886-7231
Fax
(815) 886-3546
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kent Adams
Title
Fire Chief
Phone
(815) 886-7231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 7102 IL Primary

Addresses

Primary practice location

18 Montrose Dr
Romeoville, IL 60446-1370

Mailing address

18 Montrose Dr
Romeoville, IL 60446-1370
Phone (815) 886-7231

Other identifiers 1

IdentifierTypeStateIssuer
9971275OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120207000845 IL Part B Supplier - Ambulance Service Supplier 5698932341 Practice locations: Romeoville, IL

National Provider Directory

National Provider Directory

Locations

18 Montrose Dr
Romeoville, IL 60446
Phone (815) 886-7231

1321 Enterprise Dr
Romeoville, IL 60446
Phone (815) 372-4030

698 N Birch Ln
Romeoville, IL 60446
Phone (815) 886-4629

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1285677468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MONTROSE DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461370",
            "telephone_number": "815-886-7231",
            "fax_number": "815-886-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MONTROSE DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461370",
            "telephone_number": "815-886-7231",
            "fax_number": "815-886-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF ROMEOVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-886-7231"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "7102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9971275",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.

Verify at the official NPI Registry.