City of Oak Forest
Organization Active NPI Ambulance · Oak Forest, IL
NPI 1346304342 · NPPES record last updated Dec 10, 2019
Key facts
- NPI
- 1346304342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 815802 (IL)
- Legal business name
- CITY OF OAK FOREST
- Practice address
- 15440 Central Ave
Oak Forest, IL 60452-2104 - Phone
- (773) 233-1170
- Fax
- (773) 233-8146
- NPI assigned
- Dec 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Terry Lipinski
- Title
- Fire Chief
- Phone
- (773) 233-1170
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120302000203 | IL | Part B Supplier - Ambulance Service Supplier | 8022277573 | Practice locations: Oak Forest, IL |
National Provider Directory
Locations
15440 Central Ave
Oak Forest, IL 60452
5620 James Dr
Oak Forest, IL 60452
Phone (708) 687-6050
4907 167th St
Oak Forest, IL 60452
Phone (708) 687-6050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 815802 | IL | Yes |
Addresses
Primary practice location
15440 Central Ave
Oak Forest, IL 60452-2104
Mailing address
PO Box 1053
Mokena, IL 60448-2052
Phone (708) 478-5694
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590011945 | Other | IL | RAILROAD RETIREMENT |
| 1620632 | Other | IL | HMO ILLINOIS |
| 1620632 | Other | IL | BC-BS OF ILLINOIS |
Other providers in Oak Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.