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VILLAGE OF MATTESON NPI 1407802721


NPI Information

NPI: 1407802721
Provider Name: VILLAGE OF MATTESON

Former Legal Business Name: MATTESON FIRE DEPARTMENT

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
3445 211TH ST
MATTESON, IL
ZIP 60443
Phone: (708) 748-5129
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VILLAGE OF MATTESON is a land transport ambulance in Matteson, IL. VILLAGE OF MATTESON NPI is 1407802721. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Matteson Fire Department.

The provider's business location address is:

3445 211TH ST
MATTESON, IL
ZIP 60443-521
Phone: (708) 748-5129
Fax: (708) 283-6606

The provider's authorized official is Nick Wilkins .
The authorized official title is Fire Chief and has the following contact phone number (708) 748-5129.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 6/30/2008.


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 Transport8171ILLINOISYes

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
1590009914OTHERILLINOISRR MEDICARE
2=========OTHERILLINOISTRICARE HEALTH NET
3590009914MEDICARE PINILLINOIS
41690076OTHERILLINOISBCBS
5=========001MEDICAIDILLINOIS
6511990MEDICARE 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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