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VILLAGE OF ELK GROVE VILLAGE NPI 1275552473


NPI Information

NPI: 1275552473
Provider Name: VILLAGE OF ELK GROVE VILLAGE

Other Name: ELK GROVE VILLAGE FIRE DEPARTMENT

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
901 WELLINGTON AVE
ELK GROVE VILLAGE, IL
ZIP 60007
Phone: (847) 734-8002
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VILLAGE OF ELK GROVE VILLAGE is a land transport ambulance in Elk Grove Village, IL. VILLAGE OF ELK GROVE VILLAGE NPI is 1275552473. The provider is registered as an organization entity type.
The provider Other Name Is Elk Grove Village Fire Department.

The provider's business location address is:

901 WELLINGTON AVE
ELK GROVE VILLAGE, IL
ZIP 60007-456
Phone: (847) 734-8002
Fax: (847) 734-8024

The provider's authorized official is Scott Miller .
The authorized official title is Fire Chief and has the following contact phone number (847) 734-8002.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 3/11/2009.


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 Transport8183ILLINOISYes

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=========OTHERILLINOISTRICARE NORTH
2=========001MEDICAIDILLINOIS
3P00423535MEDICARE PINILLINOIS
4613732300OTHERILLINOISDEPT OF LABOR OWCP
51634101OTHERILLINOISBCBS
6208754MEDICARE 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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