Organization Active NPI

Village of Western Springs

  • Land Ambulance
  • Western Springs, IL
National Provider Identifier
1851326201
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Jun 7, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1620231OtherILBCBS

Other names 1

  • VILLAGE OF WESTERN SPRG Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 SPRG2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.