VILLAGE OF WEST DUNDEE NPI 1043269038

NPI Information

NPI: 1043269038
Provider Name: VILLAGE OF WEST DUNDEE
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
100 CARRINGTON DR
WEST DUNDEE, IL
ZIP 60118
Phone: (847) 551-3805
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VILLAGE OF WEST DUNDEE is a land transport ambulance in West Dundee, IL. VILLAGE OF WEST DUNDEE NPI is 1043269038. The provider is registered as an organization entity type.

The provider's business location address is:

100 CARRINGTON DR
WEST DUNDEE, IL
ZIP 60118-770
Phone: (847) 551-3805
Fax: (847) 551-3814

The provider's authorized official is Randy Freise .
The authorized official title is Fire Chief and has the following contact phone number (847) 551-3805.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 3/22/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	97134	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	OTHER	ILLINOIS	PUBLIC AID
2	045-23817	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
3	590010903	OTHER	ILLINOIS	RAILROAD MEDICARE
4	925030	MEDICARE ID-TYPE UNSPECIFIED	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: 4/28/2024

NPI Synchronization or Removal

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