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VILLAGE OF BROOKFIELD NPI 1417063116


NPI Information

NPI: 1417063116
Provider Name: VILLAGE OF BROOKFIELD
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
9001 SHIELDS AVE
BROOKFIELD, IL
ZIP 60513
Phone: (708) 485-0076
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VILLAGE OF BROOKFIELD is a land transport ambulance in Brookfield, IL. VILLAGE OF BROOKFIELD NPI is 1417063116. The provider is registered as an organization entity type.

The provider's business location address is:

9001 SHIELDS AVE
BROOKFIELD, IL
ZIP 60513-009
Phone: (708) 485-0076
Fax: (708) 387-2733

The provider's authorized official is James Adams .
The authorized official title is Fire Chief and has the following contact phone number (708) 485-3066.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 4/13/2020.


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 Transport88056ILLINOISYes

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
1590008738OTHERILLINOISRAILROAD MEDICARE
201633417OTHERILLINOISBCBS

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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