HARLEM ROSCOE FIRE PROTECTION DISTRICT NPI 1518087436

NPI Information

NPI: 1518087436
Provider Name: HARLEM ROSCOE FIRE PROTECTION DISTRICT

Other Name: HARLEM ROSCOE AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
10544 MAIN ST
ROSCOE, IL
ZIP 61073
Phone: (815) 623-7867
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HARLEM ROSCOE FIRE PROTECTION DISTRICT is a land transport ambulance in Roscoe, IL. HARLEM ROSCOE FIRE PROTECTION DISTRICT NPI is 1518087436. The provider is registered as an organization entity type.
The provider Other Name Is Harlem Roscoe Ambulance Service.

The provider's business location address is:

10544 MAIN ST
ROSCOE, IL
ZIP 61073-829
Phone: (815) 623-7867
Fax: (815) 623-8831

The provider's authorized official is Donald Shoevlin .
The authorized official title is Chief and has the following contact phone number (815) 623-7867.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 1/24/2013.

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			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	381320	OTHER		MEDICARE

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: 4/28/2024

NPI Synchronization or Removal

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