VILLAGE OF WINNETKA NPI 1730114091

NPI Information

NPI: 1730114091
Provider Name: VILLAGE OF WINNETKA

Former Legal Business Name: WINNETKA FIRE DEPARTMENT

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 14D2207719

Address:
428 GREEN BAY RD
WINNETKA, IL
ZIP 60093
Phone: (847) 501-6029
Get Directions

VILLAGE OF WINNETKA is a land transport ambulance in Winnetka, IL. VILLAGE OF WINNETKA NPI is 1730114091. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Winnetka Fire Department.

The provider's business location address is:

428 GREEN BAY RD
WINNETKA, IL
ZIP 60093-528
Phone: (847) 501-6029
Fax: (847) 446-7989

The provider's authorized official is Scott Smith .
The authorized official title is Fire Chief and has the following contact phone number (847) 501-6028.

The CLIA number assigned to this NPI record is 14D2207719 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 6/19/2008.

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
1	3416L0300X	Ambulance	Land Transport	8203	ILLINOIS	Yes

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
1	204110	MEDICARE PIN	ILLINOIS
2	590008157	MEDICARE PIN	ILLINOIS
3	1671464	OTHER	ILLINOIS	BCBS
4	278740800	OTHER	ILLINOIS	DOL OWCP
5	590008158	OTHER	ILLINOIS	RR MEDICARE
6	=========	OTHER	ILLINOIS	TRICARE NORTH
7	=========001	MEDICAID	ILLINOIS

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

NPI Synchronization or Removal

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