Organization Active NPI

Safeway Automated Medical Services

  • Non-emergency Medical Transport (VAN)
  • South Holland, IL
National Provider Identifier
1821501032
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SAFEWAY AUTOMATED MEDICAL SERVICES
Practice address
15475 S Park Ave Ste 107
South Holland, IL 60473-1378
Phone
(708) 331-2433
NPI assigned
Nov 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Victor Hubbert
Title
President
Phone
(708) 331-2433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X IL Primary

Addresses

Primary practice location

15475 S Park Ave Ste 107
South Holland, IL 60473-1378

Mailing address

15475 S Park Ave Ste 107
South Holland, IL 60473-1378
Phone (708) 331-2433

Other names 1

  • SAMS TRANSIT Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1821501032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15475 S PARK AVE STE 107",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731378",
            "telephone_number": "708-331-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15475 S PARK AVE STE 107",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731378",
            "telephone_number": "708-331-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY AUTOMATED MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "HUBBERT",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-331-2433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAMS TRANSIT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Holland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.