Organization Active NPI

Pleasantview Fire Protection District

  • Ambulance
  • La Grange Highlands, IL
National Provider Identifier
1790722577
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
8913 Issued in IL
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

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
Dan Hermes
Title
Chief
Phone
(708) 352-9229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20050826000041 IL Part B Supplier - Ambulance Service Supplier 3577594852 Practice locations: Hodgkins, IL; La Grange Highlands, IL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.