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VILLAGE OF HOFFMAN ESTATES NPI 1053325324


NPI Information

NPI: 1053325324
Provider Name: VILLAGE OF HOFFMAN ESTATES
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 14D0686318

Address:
1900 HASSELL RD
HOFFMAN ESTATES, IL
ZIP 60195
Phone: (847) 882-2138
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VILLAGE OF HOFFMAN ESTATES is a land transport ambulance in Hoffman Estates, IL. VILLAGE OF HOFFMAN ESTATES NPI is 1053325324. The provider is registered as an organization entity type.

The provider's business location address is:

1900 HASSELL RD
HOFFMAN ESTATES, IL
ZIP 60195-308
Phone: (847) 882-2138
Fax: (847) 882-2139

The provider's authorized official is Kevin Rynders .
The authorized official title is Fire Chief and has the following contact phone number (847) 882-2138.

The CLIA number assigned to this NPI record is 14D0686318 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 4/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand Transport8190ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11670165OTHERILLINOISBCBS
2590002596MEDICARE PINILLINOIS
3590002596OTHERILLINOISRR MEDICARE
4=========00OTHERILLINOISOHIO BUREAU WORKER COMP
5=========OTHERILLINOISTRICARE NORTH
6360243413001MEDICAIDILLINOIS
7642350MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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