Village of Oakwood

Primary specialty

AmbulanceTaxonomy code 341600000X

License

653101 Issued in IL

Legal business name

VILLAGE OF OAKWOOD

Practice address

106 S. Scott St.
Oakwood, IL 61858-0031

Phone

(217) 354-4255

Fax

(217) 354-4901

NPI assigned

Jan 24, 2007

Last updated

Jul 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Terry Hume

Title

Ambulance Coordinator

Phone

(217) 304-5980

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Oakwood Emergency Rescue Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1912052804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31",
            "city": "OAKWOOD",
            "state": "IL",
            "postal_code": "618580031",
            "telephone_number": "217-354-4255",
            "fax_number": "217-354-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S. SCOTT ST.",
            "city": "OAKWOOD",
            "state": "IL",
            "postal_code": "618580031",
            "telephone_number": "217-354-4255",
            "fax_number": "217-354-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF OAKWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "HUME",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "AMBULANCE COORDINATOR",
        "authorized_official_telephone_number": "217-304-5980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "653101",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "653102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "800460",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "09270817",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakwood Emergency Rescue",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Barbara Schnorr Fink, ED.D.
• Ami Jo Howard, MA, CCC-SLP
• Todd Matson, RN
• Kenna A Oneal
• Natalie Elizabeth Snyders, CCC-SLP

• Ambulance in Oakwood, IL
• Providers in Oakwood, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.