VILLAGE OF WINTHROP HBR NPI 1871528133

NPI Information

NPI: 1871528133
Provider Name: VILLAGE OF WINTHROP HBR

Former Legal Business Name: WINTHROP HARBOR FIRE DEPARTMENT

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
830 SHERIDAN RD
WINTHROP HARBOR, IL
ZIP 60096
Phone: (847) 872-5957
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VILLAGE OF WINTHROP HBR is a land transport ambulance in Winthrop Harbor, IL. VILLAGE OF WINTHROP HBR NPI is 1871528133. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Winthrop Harbor Fire Department.

The provider's business location address is:

830 SHERIDAN RD
WINTHROP HARBOR, IL
ZIP 60096-632
Phone: (847) 872-5957
Fax: (847) 872-1553

The provider's authorized official is Michael Stried .
The authorized official title is Fire Chief and has the following contact phone number (847) 872-5957.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 6/18/2008.

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	7277	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	=========	OTHER	ILLINOIS	TRICARE NORTH
2	=========001	MEDICAID	ILLINOIS
3	4920454	OTHER	ILLINOIS	BCBS
4	309230	MEDICARE PIN	ILLINOIS
5	590012633	OTHER	ILLINOIS	RR MEDICARE
6	590012633	MEDICARE PIN	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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