City of Park Ridge

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

8194 Issued in IL

Legal business name

CITY OF PARK RIDGE

Practice address

505 Butler Place
Park Ridge, IL 60068-4648

Phone

(847) 318-5264

Fax

(847) 318-5314

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Matthew Scott Jarka

Title

Lieutenant

Phone

(630) 337-8174

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Park Ridge Fire Department Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1851332159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BUTLER PLACE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684648",
            "telephone_number": "847-318-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BUTLER PLACE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684648",
            "telephone_number": "847-318-5264",
            "fax_number": "847-318-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PARK RIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "JARKA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "LIEUTENANT",
        "authorized_official_telephone_number": "630-337-8174"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "8194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590007926",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1670787",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Ridge Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karyn B Cihak, PSY.D
• Victor Cimino, MD, DDS
• Alexandra Ciraulo, FNP-BC
• Lisa Ciszewski, LCPC
• Citrine Wellness Studio LLC
• Haley R Clark
• Laura Caitlin Clark
• Todd Clark, MEDICAL DOCTOR
• Allison Hayes Clarke, PH.D.
• Catherine Melissa Claro, NP-BC

• Land Ambulance in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.