Village of Midlothian

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

077585 Issued in IL

Legal business name

VILLAGE OF MIDLOTHIAN

Practice address

14801 Pulaski Rd
Midlothian, IL 60445-3401

Phone

(708) 489-4742

Fax

(708) 389-1829

NPI assigned

Sep 6, 2013

Last updated

Dec 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Hotwagner

Title

Fire Chief

Phone

(708) 389-8249

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1467887661",
    "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": "14801 PULASKI RD",
            "city": "MIDLOTHIAN",
            "state": "IL",
            "postal_code": "604453401",
            "telephone_number": "708-489-4742",
            "fax_number": "708-389-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF MIDLOTHIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "HOTWAGNER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "708-389-8249"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "077585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Midlothian, IL
• Providers in Midlothian, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.