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SPRING GROVE FIRE PROTECTION DISTRICT NPI 1003849647


NPI Information

NPI: 1003849647
Provider Name: SPRING GROVE FIRE PROTECTION DISTRICT
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
8214 RICHARDSON RD
SPRING GROVE, IL
ZIP 60081
Phone: (815) 675-2450
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SPRING GROVE FIRE PROTECTION DISTRICT is a land transport ambulance in Spring Grove, IL. SPRING GROVE FIRE PROTECTION DISTRICT NPI is 1003849647. The provider is registered as an organization entity type.

The provider's business location address is:

8214 RICHARDSON RD
SPRING GROVE, IL
ZIP 60081-429
Phone: (815) 675-2450
Fax: (815) 675-6284

The provider's authorized official is Rich Tobiasz .
The authorized official title is Fire Chief and has the following contact phone number (815) 675-2450.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand Transport7119ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00433585MEDICARE PINILLINOIS
2214606MEDICARE PINILLINOIS
35632079OTHERILLINOISBCBS
4=========OTHERILLINOISTRICARE NORTH
5=========001MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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