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CITY OF JOLIET NPI 1760472070


NPI Information

NPI: 1760472070
Provider Name: CITY OF JOLIET

Other Name: JOLIET FIRE DEPARTMENT

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 14D2236435

Address:
101 E CLINTON ST
JOLIET, IL
ZIP 60432
Phone: (815) 724-3503
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CITY OF JOLIET is a land transport ambulance in Joliet, IL. CITY OF JOLIET NPI is 1760472070. The provider is registered as an organization entity type.
The provider Other Name Is Joliet Fire Department.

The provider's business location address is:

101 E CLINTON ST
JOLIET, IL
ZIP 60432-137
Phone: (815) 724-3503
Fax: (815) 724-3548

The provider's authorized official is Richard Marose .
The authorized official title is Chief Of Ems and has the following contact phone number (815) 724-3503.

The CLIA number assigned to this NPI record is 14D2236435 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2005 and was last updated on 4/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand Transport7 7093ILLINOISYes

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
10009970528OTHERILLINOISBCBS
28100053OTHERILLINOISUNITED HEALTH CARE
3718600MEDICARE PINILLINOIS
442011OTHERILLINOISAMERICAN REPUBLIC IN
560054OTHERILLINOISAETNA
661425OTHERILLINOISSTAMARK PHCS
7=========001MEDICAIDILLINOIS

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: 11/14/2023

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.