Active NPI
Village of New Baden
- Ambulance
- New Baden, IL
National Provider Identifier
1669535019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 44784
- Legal business name
- VILLAGE OF NEW BADEN
- Practice address
- 1 E Hanover St
New Baden, IL 62265-1807 - Phone
- (618) 588-7272
- NPI assigned
- Dec 18, 2006
- 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
- Timothy J Hoerchler
- Title
- Village President
- Phone
- (618) 588-3813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 44784 | IL | Primary |
Addresses
Primary practice location
1 E Hanover St
New Baden, IL 62265-1807
Mailing address
1 East Hanover Street
New Baden, IL 62265-1807
Phone (618) 588-3813
Other names 1
- Village of New Baden Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120312000622 | IL | Part B Supplier - Ambulance Service Supplier | 9436318367 | Practice locations: New Baden, IL |
National Provider Directory
National Provider DirectoryLocations
100 E Hanover St
New Baden, IL 62265
Phone (618) 588-3813
1 E Hanover St
New Baden, IL 62265
Phone (618) 588-7272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1669535019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EAST HANOVER STREET",
"city": "NEW BADEN",
"state": "IL",
"postal_code": "622651807",
"telephone_number": "618-588-3813",
"fax_number": "618-588-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 E HANOVER ST",
"city": "NEW BADEN",
"state": "IL",
"postal_code": "622651807",
"telephone_number": "618-588-7272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF NEW BADEN",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOERCHLER",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "VILLAGE PRESIDENT",
"authorized_official_telephone_number": "618-588-3813"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IL",
"license": "44784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Village of New Baden Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Baden, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.