CENTRAL STICKNEY FIRE PROTECTION NPI 1770648271

NPI Information

CENTRAL STICKNEY FIRE PROTECTION is an ambulance in Chicago, IL. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). CENTRAL STICKNEY FIRE PROTECTION NPI is 1770648271. The provider is registered as an organization entity type.

The provider's business location address is:

4951 S LOTUS AVE
CHICAGO, IL
ZIP 60638-719
Phone: (773) 233-1170
Fax: (773) 233-8146

The provider's authorized official is Brian Mcmahon .
The authorized official title is Fire Chief and has the following contact phone number (773) 233-1170.

The CLIA number assigned to this NPI record is 14D2201801 - other - fire station with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 1/30/2012.

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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