Active NPI
Village of Arlington Heights a
- Land Ambulance
- Arlington Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 98178
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1670140 | Other | IL | BCBS PROVIDER NUMBER |
| 132855900 | Other | IL | DEPT OF LABOR OWCP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100116000022 | IL | Part B Supplier - Ambulance Service Supplier | 0547302358 | Practice locations: Arlington Heights, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0885077 | Village of Arlington Heights | Certificate of waiver | Jul 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.