Organization Active NPI

Village of Arlington Heights a

  • Land Ambulance
  • Arlington Heights, IL
National Provider Identifier
1306849567
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
98178 Issued in IL
Legal business name
VILLAGE OF ARLINGTON HEIGHTS A
Practice address
33 S Arlington Heights Rd
Arlington Heights, IL 60005-1403
Phone
(847) 368-5000
Fax
(847) 368-5995
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Lance Harris
Title
Chief
Phone
(847) 368-5450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 98178 IL Primary

Addresses

Primary practice location

33 S Arlington Heights Rd
Arlington Heights, IL 60005-1403

Mailing address

PO Box 7134
Carol Stream, IL 60197-7134
Phone (847) 368-5450

Other identifiers 2

IdentifierTypeStateIssuer
1670140OtherILBCBS PROVIDER NUMBER
132855900OtherILDEPT OF LABOR OWCP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100116000022 IL Part B Supplier - Ambulance Service Supplier 0547302358 Practice locations: Arlington Heights, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0885077Village of Arlington Heights33 S Arlington Heights, Arlington Heights, IL 60005Certificate of waiverJul 24, 2027

National Provider Directory

National Provider Directory

Locations

33 S Arlington Heights Rd
Arlington Heights, IL 60005
Phone (847) 253-2340

3030 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 368-5450

2000 S Arlington Heights Rd
Arlington Heights, IL 60005
Phone (847) 368-5450

1150 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 368-5450

1150 N Arlington Heights Rd
#R
Arlington Heights, IL 60004
Phone (847) 368-5452

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1306849567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7134",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601977134",
            "telephone_number": "847-368-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051403",
            "telephone_number": "847-368-5000",
            "fax_number": "847-368-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF ARLINGTON HEIGHTS A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "847-368-5450"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "98178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "1670140",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR OWCP",
            "identifier": "132855900",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.