# VILLAGE OF PEORIA HEIGHTS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** PEORIA HEIGHTS AMBULANCE SERVICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427186584
- **Authorized official:** JAMES MAROTTA (AMBULANCE ADMINISTRATOR)
- **Authorized official phone:** (309) 686-2386

## Contact information

- **Practice address:** 4901 N PROSPECT RD, PEORIA HEIGHTS, IL 61616-5397
- **Practice address phone:** (309) 686-2370
- **Practice address fax:** (309) 682-3089
- **Mailing address:** PO BOX 457, WHEELING, IL 60090-0457
- **Mailing address phone:** (847) 577-8811
- **Mailing address fax:** (847) 577-3518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 22572 | IL | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 04/23/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 07232092 | BLUE CROSS BLUE SHIELD | ID |
| 01 | — | 590006195 | RAILROAD MEDICARE | IL |