Active NPI
Village of Skokie
- Land Ambulance
- Skokie, IL
National Provider Identifier
1942397013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 108198
- Legal business name
- VILLAGE OF SKOKIE
- Practice address
- 5127 Oakton St
Skokie, IL 60077 - Phone
- (847) 982-5320
- Fax
- (847) 675-2318
- NPI assigned
- Oct 9, 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
- Mr. Ralph Czerwinski
- Title
- Fire Chief
- Phone
- (847) 982-5320
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 108198 | IL | Primary |
Addresses
Primary practice location
5127 Oakton St
Skokie, IL 60077
Mailing address
PO Box 6275
Carol Stream, IL 60197-6275
Phone (708) 478-5694
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590014282 | Other | IL | RAILROAD MEDICARE |
| 01620631 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081003000737 | IL | Part B Supplier - Ambulance Service Supplier | 9537237565 | Practice locations: Skokie, IL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Skokie Health Dept
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Skokie, IL
- NPI 1083786339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526947200000",
"number": "1942397013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6275",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601976275",
"telephone_number": "708-478-5694",
"fax_number": "708-478-5879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5127 OAKTON ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "60077",
"telephone_number": "847-982-5320",
"fax_number": "847-675-2318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF SKOKIE",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-09",
"last_updated": "2018-05-22",
"status": "A",
"authorized_official_last_name": "CZERWINSKI",
"authorized_official_first_name": "RALPH",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "847-982-5320",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "108198",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590014282",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01620631",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.