BOURBONNAIS FIRE DISTRICT NPI 1013955426

NPI Information

NPI: 1013955426
Provider Name: BOURBONNAIS FIRE DISTRICT

Other Name: BOURBONNAIS FIRE DEPARTMENT

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
1080 ARMOUR RD
BOURBONNAIS, IL
ZIP 60914
Phone: (815) 935-9670
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BOURBONNAIS FIRE DISTRICT is a land transport ambulance in Bourbonnais, IL. BOURBONNAIS FIRE DISTRICT NPI is 1013955426. The provider is registered as an organization entity type.
The provider Other Name Is Bourbonnais Fire Department.

The provider's business location address is:

1080 ARMOUR RD
BOURBONNAIS, IL
ZIP 60914-102
Phone: (815) 935-9670
Fax: (815) 935-9675

The provider's authorized official is Ed St Louis .
The authorized official title is Chief and has the following contact phone number (815) 935-9670.

The CLIA number assigned to this NPI record is 14D2239372 - other - fire station with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 5/26/2009.

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
1	3416L0300X	Ambulance	Land Transport	77816	ILLINOIS	Yes

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
1	=========001	MEDICAID	ILLINOIS
2	707450	MEDICARE PIN	ILLINOIS
3	590014460	OTHER	ILLINOIS	MEDICARE RAILROAD
4	611645300	OTHER	ILLINOIS	DOL OWCP
5	4630164	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD

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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