SOUTH ELGIN AND COUNTRYSIDE FIRE PROTECTION DISTRICT NPI 1568405835

NPI Information

SOUTH ELGIN AND COUNTRYSIDE FIRE PROTECTION DISTRICT is a land transport ambulance in South Elgin, IL. SOUTH ELGIN AND COUNTRYSIDE FIRE PROTECTION DISTRICT NPI is 1568405835. The provider is registered as an organization entity type.

The provider's business location address is:

150 W STATE ST
SOUTH ELGIN, IL
ZIP 60177-912
Phone: (847) 741-2141
Fax: (847) 741-2184

The provider's authorized official is Joseph Cluchey .
The authorized official title is Fire Chief and has the following contact phone number (847) 741-2141.

The CLIA number assigned to this NPI record is 14D2207436 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 5/1/2008.

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:

Other Identifiers

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

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