Village of Western SPRG

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

08 8084 Issued in IL

Legal business name

VILLAGE OF WESTERN SPRG

Practice address

4353 Wolf Rd
Western Sprgs, IL 60558-1416

Phone

(708) 246-1182

Fax

(708) 246-4871

NPI assigned

Oct 14, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Donna M Ruch

Title

Paramedic Firefighter

Phone

(708) 246-1182

Specialties & licenses 1

Addresses

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.

• Village of Western Springs

  • Land Ambulance
  • Western Springs, IL
  • NPI 1851326201
  NPD tax ID

Locations

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1881929537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 HILLGROVE AVE",
            "city": "WESTERN SPRGS",
            "state": "IL",
            "postal_code": "605581409",
            "telephone_number": "708-246-1182",
            "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 SPRGS",
            "state": "IL",
            "postal_code": "605581416",
            "telephone_number": "708-246-1182",
            "fax_number": "708-246-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF WESTERN SPRG",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "RUCH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARAMEDIC FIREFIGHTER",
        "authorized_official_telephone_number": "708-246-1182",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "08 8084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Lashan Collins
• Christy Furey, MD

• Land Ambulance in Western Sprgs, IL
• Providers in Western Sprgs, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.