GLEN CARBON FIRE PROTECTION DISTRICT NPI 1063625697

NPI Information

NPI: 1063625697
Provider Name: GLEN CARBON FIRE PROTECTION DISTRICT
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
430 GLEN CARBON RD
GLEN CARBON, IL
ZIP 62034
Phone: (618) 288-1258
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GLEN CARBON FIRE PROTECTION DISTRICT is a land transport ambulance in Glen Carbon, IL. GLEN CARBON FIRE PROTECTION DISTRICT NPI is 1063625697. The provider is registered as an organization entity type.

The provider's business location address is:

430 GLEN CARBON RD
GLEN CARBON, IL
ZIP 62034-966
Phone: (618) 288-1258
Fax: (618) 288-2191

The provider's authorized official is James Friedel .
The authorized official title is Fire Chief and has the following contact phone number (618) 288-1258.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 4/20/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	4005	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	06032261	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD IL
2	P00450799	MEDICARE PIN	ILLINOIS
3	=========	OTHER	ILLINOIS	TRICARE HEALTH NET
4	=========001	MEDICAID	ILLINOIS
5	215481	MEDICARE PIN	ILLINOIS

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

NPI Synchronization or Removal

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