Village Of South Holland

LBN: Village Of South Holland
Village Of South Holland is an health care organization with primary practice located at 16226 Wausau Ave , South Holland IL 60473-2156. The organization recently has only one registered license in Transportation Services / Ambulance, which is considered as the primary health care specialty. Village Of South Holland can be contacted via phone (773) 233-1170, or through Kolosh, Brian via phone (708) 478-5694.

Contact Information

Primary practice address
16226 Wausau Ave South Holland IL 60473-2156
Phone: (773) 233-1170
Fax: (773) 233-8146
Website:
Map and Directions
Authorized official contact:
Name: Kolosh, Brian
Phone: (708) 478-5694

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X Illinois

Profile Details

NPI number 1881759652
LBN Legal business name Village Of South Holland
DBA Doing business as
Authorized official Kolosh, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2006
Last updated Dec 10th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881759652 NPPES
Illinois Other 1620362 HMO ILLINOIS
Illinois Other 1620362 HMO ILLINOIS
Illinois Other 590009878 HMO ILLINOIS

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