Organization Active NPI

Village of New Baden

  • Ambulance
  • New Baden, IL
National Provider Identifier
1669535019
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
44784 Issued in IL
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120312000622 IL Part B Supplier - Ambulance Service Supplier 9436318367 Practice locations: New Baden, IL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.