Hazel Crest Fire Dept. – Land Ambulance, NPI 1568461697

Hazel Crest Fire Dept. is a healthcare provider. based in Hazel crest, Illinois. specializing in Land Ambulance. The NPI Number for Hazel Crest Fire Dept. is 1568461697

Main info

Organization
Name
Hazel Crest Fire Dept.
NPI
1568461697
Phone
(708) 335-9630
Address
2903 W. 175TH STREET
Authorized Official
DANTE SAWYER VILLAGE MANAGER
Enumeration Date
20 July 2005
Last Update Date
9 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness90
Years active:20State licenses:0Digital endpoints

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Provider Addresses for Hazel Crest Fire Dept.

  • 175th Street, East Hazel Crest, Thornton Township, Cook County, Illinois, 60430, United States

    HAZEL CREST, IL 60429

    Phone: (708) 335-9630

    Fax: (708) 335-9639

    Type: Location

  • PO BOX 457

    WHEELING, IL 600900457

    Phone: (800) 244-2345

    Fax: (800) 329-5274

    Type: Mailing

  • 2903 175TH ST

    HAZEL CREST, IL 604292183

    Phone: (708) 335-9630

    Fax: (708) 960-0563

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-05-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-05-31 (745 days ago).

Enrollment records

1

Earliest due date

2024-05-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20130502000132OAmbulance Service SupplierIL2024-05-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A0425Ground mileage, per statute mile616235$0
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)201147$0
A0429Ambulance service, basic life support, emergency transport (bls-emergency)176121$0
View full utilization report →

Insurance plans in this area (ZIP 60429)

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Reviews

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Frequently asked questions

What federal number belongs to Hazel Crest Fire Dept.?
The federal identifier for Hazel Crest Fire Dept. is NPI 1568461697.
Is Hazel Crest Fire Dept.'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does Hazel Crest Fire Dept. list a primary specialty?
If you are matching referrals, note Land Ambulance for Hazel Crest Fire Dept.. Clinical services aligned with this taxonomy classification.
Where is Hazel Crest Fire Dept.'s primary listing?
We display Hazel Crest, Illinois because that is what the record indicates for Hazel Crest Fire Dept..
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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