Organization Active NPI

City of Oak Forest

  • Ambulance
  • Oak Forest, IL
National Provider Identifier
1346304342
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
815802 Issued in 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
Last updated
Dec 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Mr. Terry Lipinski
Title
Fire Chief
Phone
(773) 233-1170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 815802 IL Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120302000203 IL Part B Supplier - Ambulance Service Supplier 8022277573 Practice locations: Oak Forest, IL

National Provider Directory

National Provider Directory

Locations

15440 Central Ave
Oak Forest, IL 60452

4907 167th St
Oak Forest, IL 60452
Phone (708) 687-6050

5620 James Dr
Oak Forest, IL 60452
Phone (708) 687-6050

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1346304342",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15440 CENTRAL AVE",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522104",
            "telephone_number": "773-233-1170",
            "fax_number": "773-233-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF OAK FOREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "LIPINSKI",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "773-233-1170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "815802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.