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VILLAGE OF CALUMET PARK NPI 1437164282


NPI Information

NPI: 1437164282
Provider Name: VILLAGE OF CALUMET PARK
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
12409 S THROOP ST
CALUMET PARK, IL
ZIP 60827
Phone: (773) 233-1170
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VILLAGE OF CALUMET PARK is a land transport ambulance in Calumet Park, IL. VILLAGE OF CALUMET PARK NPI is 1437164282. The provider is registered as an organization entity type.

The provider's business location address is:

12409 S THROOP ST
CALUMET PARK, IL
ZIP 60827-819
Phone: (773) 233-1170
Fax: (773) 233-8146

The provider's authorized official is Thomas Battistella .
The authorized official title is Fire Chief and has the following contact phone number (773) 233-1170.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 10/28/2008.


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 Transport78600ILLINOISYes

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
1016-70820OTHERILLINOISBCBS
2749540MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
3=========001MEDICAIDILLINOIS

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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