VILLAGE OF LA GRANGE PARK NPI 1427063130

NPI Information

NPI: 1427063130
Provider Name: VILLAGE OF LA GRANGE PARK

Former Legal Business Name: LA GRANGE PARK FIRE DEPARTMENT

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
447 N CATHERINE AVE
LA GRANGE PARK, IL
ZIP 60526
Phone: (708) 354-0225
Get Directions

VILLAGE OF LA GRANGE PARK is a land transport ambulance in La Grange Park, IL. VILLAGE OF LA GRANGE PARK NPI is 1427063130. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is La Grange Park Fire Department.

The provider's business location address is:

447 N CATHERINE AVE
LA GRANGE PARK, IL
ZIP 60526-006
Phone: (708) 354-0225
Fax: (708) 482-4425

The provider's authorized official is Dean Maggos .
The authorized official title is Fire Chief and has the following contact phone number (708) 354-0225.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 6/26/2008.

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	8305	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	=========001	MEDICAID	ILLINOIS
2	590014325	MEDICARE PIN	ILLINOIS
3	335740	MEDICARE PIN	ILLINOIS
4	=========	OTHER	ILLINOIS	TRICARE NORTH
5	1630227	OTHER	ILLINOIS	BCBS
6	612094800	OTHER	ILLINOIS	DEPT OF LABOR OWCP
7	590014325	OTHER	ILLINOIS	RR MEDICARE

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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