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1ST RESPONSE EMS INC. NPI 1417021411


NPI Information

NPI: 1417021411
Provider Name: 1ST RESPONSE EMS INC.
Classification: Ambulance - 341600000X
Entity Type: Organization
Address:
2021 S WABASH AVE
CHICAGO, IL
ZIP 60616
Phone: (773) 392-2901
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1ST RESPONSE EMS INC. is an ambulance in Chicago, IL. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). 1ST RESPONSE EMS INC. NPI is 1417021411. The provider is registered as an organization entity type.

The provider's business location address is:

2021 S WABASH AVE
CHICAGO, IL
ZIP 60616-708
Phone: (773) 392-2901
Fax: (773) 439-2838

The provider's authorized official is Kevin Fourte .
The authorized official title is Owner and has the following contact phone number (773) 392-2901.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 5/1/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1341600000XAmbulance7 7250ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========001MEDICAIDILLINOIS
2=========OTHERILLINOISMAIL HANDLER INSURANCE #
301635696OTHERILLINOISBCBS PROVIDER NUMBER
4212755MEDICARE ID-TYPE UNSPECIFIEDILLINOISPROVIDER NUMBER

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.