Active NPI
Pleasantview Fire Protection District
- Ambulance
- La Grange Highlands, IL
National Provider Identifier
1790722577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 8913
- Legal business name
- PLEASANTVIEW FIRE PROTECTION DISTRICT
- Practice address
- 1970 W Plainfield Rd
La Grange Highlands, IL 60525-3709 - Phone
- (708) 352-9229
- Fax
- (708) 784-0386
- NPI assigned
- Jun 1, 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
- Dan Hermes
- Title
- Chief
- Phone
- (708) 352-9229
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 8913 | IL | Primary |
Addresses
Primary practice location
1970 W Plainfield Rd
La Grange Highlands, IL 60525-3709
Mailing address
1970 W Plainfield Rd
La Grange Highlands, IL 60525-3709
Phone (708) 352-9229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050826000041 | IL | Part B Supplier - Ambulance Service Supplier | 3577594852 | Practice locations: Hodgkins, IL; La Grange Highlands, IL |
National Provider Directory
National Provider DirectoryLocations
9096 Joliet Rd
Hodgkins, IL 60525
Phone (708) 352-9229
1970 W Plainfield Rd
La Grange Highlands, IL 60525
Phone (708) 352-9229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790722577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 W PLAINFIELD RD",
"city": "LA GRANGE HIGHLANDS",
"state": "IL",
"postal_code": "605253709",
"telephone_number": "708-352-9229",
"fax_number": "708-784-0386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 W PLAINFIELD RD",
"city": "LA GRANGE HIGHLANDS",
"state": "IL",
"postal_code": "605253709",
"telephone_number": "708-352-9229",
"fax_number": "708-784-0386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLEASANTVIEW FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HERMES",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "708-352-9229"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IL",
"license": "8913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Grange Highlands, 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.