CITY OF HIGHLAND NPI 1750336756

NPI Information

NPI: 1750336756
Provider Name: CITY OF HIGHLAND

Other Name: HIGHLAND AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
1122 BROADWAY
HIGHLAND, IL
ZIP 62249
Phone: (618) 654-5901
Get Directions

CITY OF HIGHLAND is a land transport ambulance in Highland, IL. CITY OF HIGHLAND NPI is 1750336756. The provider is registered as an organization entity type.
The provider Other Name Is Highland Ambulance Service.

The provider's business location address is:

1122 BROADWAY
HIGHLAND, IL
ZIP 62249-917
Phone: (618) 654-5901
Fax: (618) 654-6829

The provider's authorized official is Stephanie L Nicklin .
The authorized official title is Billing and has the following contact phone number (618) 651-9801.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 3/27/2009.

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	1690161	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	590155556	OTHER	ILLINOIS	MEDICARE RAILROAD
2	286270	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
3	0006019802	OTHER	ILLINOIS	BCBS OF IL
4	=========001	MEDICAID	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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