Active NPI
Village of Western Springs
- Land Ambulance
- Western Springs, IL
National Provider Identifier
1851326201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- VILLAGE OF WESTERN SPRINGS
- Practice address
- 4353 Wolf Rd.
Western Springs, IL 60558-1416 - Phone
- (708) 246-1800
- Fax
- (708) 246-4871
- NPI assigned
- Jul 12, 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
- Patrick Kenny
- Title
- Fire Chief
- Phone
- (708) 246-1800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 8084 | IL | |
| Land Ambulance | 3416L0300X | IL | Primary |
Addresses
Primary practice location
4353 Wolf Rd.
Western Springs, IL 60558-1416
Mailing address
4353 Wolf Rd.
Western Springs, IL 60558-1416
Phone (708) 246-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1620231 | Other | IL | BCBS |
Other names 1
- VILLAGE OF WESTERN SPRG
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120116000067 | IL | Part B Supplier - Ambulance Service Supplier | 4587831516 | Practice locations: Western Springs, IL |
National Provider Directory
National Provider Directory- Tax ID family
- Village of Western SPRG
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Western Sprgs, IL
- NPI 1881929537
Locations
5501 Grand Ave
Western Springs, IL 60558
Phone 7082461800192
740 Hillgrove Ave
Western Springs, IL 60558
Phone (708) 246-1800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465257600000",
"number": "1851326201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4353 WOLF RD.",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605581416",
"telephone_number": "708-246-1800",
"fax_number": "708-246-4871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4353 WOLF RD.",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605581416",
"telephone_number": "708-246-1800",
"fax_number": "708-246-4871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF WESTERN SPRINGS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2016-06-07",
"status": "A",
"authorized_official_last_name": "KENNY",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "708-246-1800"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "8084",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1620231",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VILLAGE OF WESTERN SPRG",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Western Springs, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.