VILLAGE OF DWIGHT NPI 1447390943

NPI Information

NPI: 1447390943
Provider Name: VILLAGE OF DWIGHT

Other Name: DWIGHT EMERGENCY MEDICAL SERVICES

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
209 S PRAIRIE AVE
DWIGHT, IL
ZIP 60420
Phone: (815) 584-2050
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VILLAGE OF DWIGHT is a land transport ambulance in Dwight, IL. VILLAGE OF DWIGHT NPI is 1447390943. The provider is registered as an organization entity type.
The provider Other Name Is Dwight Emergency Medical Services.

The provider's business location address is:

209 S PRAIRIE AVE
DWIGHT, IL
ZIP 60420-323
Phone: (815) 584-2050
Fax: (815) 584-2848

The provider's authorized official is Alan Metzke .
The authorized official title is Ems Director and has the following contact phone number (815) 584-2050.

The enumeration date for this NPI number is 2/7/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	6723	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	539003	OTHER	ILLINOIS	BCBS
3	268980	MEDICARE PIN	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: 5/5/2024

NPI Synchronization or Removal

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