Village of Glenwood
Organization Active NPI Land Ambulance · Glenwood, IL
NPI 1699447607 · NPPES record last updated Sep 29, 2021
Key facts
- NPI
- 1699447607
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- VILLAGE OF GLENWOOD
- Practice address
- 605 E. Glenwood-Lansing Road
Glenwood, IL 60425 - Phone
- (708) 753-2440
- Fax
- (708) 753-2442
- NPI assigned
- Sep 29, 2021
- Organization subpart
- No
Authorized official
- Name
- Kevin Welsh
- Title
- Chief
- Phone
- (708) 753-2440
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220413000825 | IL | Part B Supplier - Ambulance Service Supplier | 1951797281 | Practice locations: Glenwood, IL |
National Provider Directory
Locations
1 Asselborn Way
Glenwood, IL 60425
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
605 E. Glenwood-Lansing Road
Glenwood, IL 60425
Mailing address
1 Asselborn Way
Glenwood, IL 60425-1401
Phone (708) 753-2440
Other names
- Glenwood Fire Department
Other providers in Glenwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2021. 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.