Village of Evergreen Park
NPI 1396800892ActiveOrganization· Ambulance· Evergreen Park, IL
Ambulance in Evergreen Park, Illinois, registered in NPPES in December 2006. The authorized official on file is Ron Kleinhaus, Fire Chief. Medicare paid $176,537 for services to 290 patients in 2024.
Overview
| NPI | 1396800892 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 26, 2006 |
| Last updated in NPPES | Jan 19, 2023 |
| Certified by provider | Jan 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ambulance Primary | 341600000X | — | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Ambulance Service Supplier (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 290 |
|---|---|
| Services billed | 976 across 4 procedure codes |
| Paid by Medicare | $176,537 |
Other Ambulance providers in Evergreen Park
- 1376857219