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VILLAGE OF ROSELLE
NPI 1922057108
Ambulance - Land Transport in Roselle, IL

Active since May 08, 2006CLIA 14D2207598 · Waiver
31 S PROSPECT ST, ROSELLE, IL 60172(630) 671-2844(630) 655-1875 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2025, Apr 13, 2020 (2 updates tracked since 2020).

About Village Of Roselle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VILLAGE OF ROSELLE (NPI 1922057108) is a healthcare organization registered as a land transport in Roselle, Illinois and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 28, 2026 and lists Thomas Dahl, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1922057108
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameVILLAGE OF ROSELLE
Location Address31 S PROSPECT STRoselle, IL 60172-2023
Mailing AddressPo Box 6253Carol Stream, IL 60197-6253 · (630) 530-2988 · Fax (630) 832-9750
Phone(630) 671-2844
Fax(630) 655-1875
Organization SubpartNo
Authorized OfficialThomas DahlFinance Director · (630) 671-2830
Enumeration DateMay 8, 2006
Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1922057108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in IL · 97281

Other Identifiers 2

Other02232222IL · Bcbs
Other590015371IL · Railroad Medicare

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2207598

Village Of Roselle Fire Department · Roselle, IL
Active · expires Dec 28, 2026
CLIA Number14D2207598
Laboratory TypeAmbulance
Certificate Effective DateDecember 29, 2024
Certificate Expiration DateDecember 28, 2026
Laboratory DirectorMark W. Bozik
Laboratory Phone(630) 671-2843
Laboratory LocationVillage Of Roselle Fire Department100 E Maple Ave, Roselle, IL 60172
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
2,547 services312 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
332 services244 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
116 services101 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Village Of Roselle's NPI number?

The NPI number for Village Of Roselle is 1922057108. It was assigned to this organization in the NPPES registry on May 8, 2006.

Where is Village Of Roselle located?

Village Of Roselle is located at 31 S Prospect St, Roselle, IL 60172. The listed phone number is (630) 671-2844.

What is Village Of Roselle's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Village Of Roselle hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2207598) is associated with this NPI, valid through December 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Village Of Roselle was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.