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REDDICK COMM FIRE PROT DIST NPI 1740223528


NPI Information

NPI: 1740223528
Provider Name: REDDICK COMM FIRE PROT DIST
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
2958 S 19000W RD
REDDICK, IL
ZIP 60961
Phone: (815) 365-2284
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REDDICK COMM FIRE PROT DIST is a land transport ambulance in Reddick, IL. REDDICK COMM FIRE PROT DIST NPI is 1740223528. The provider is registered as an organization entity type.

The provider's business location address is:

2958 S 19000W RD
REDDICK, IL
ZIP 60961-054
Phone: (815) 365-2284
Fax: (815) 365-4212

The provider's authorized official is James Perry .
The authorized official title is Fire Chief and has the following contact phone number (815) 365-2284.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 9/23/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand Transport7959ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14627014OTHERILLINOISBCBS
2549450MEDICARE PINILLINOIS
3590013645OTHERILLINOISRR MEDICARE
4=========001MEDICAIDILLINOIS
5590013645MEDICARE PINILLINOIS
6=========OTHERILLINOISTRICARE NORTH

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

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