# BOURBONNAIS FIRE DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bourbonnais Fire Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013955426
- **Authorized official:** ED ST LOUIS (CHIEF)
- **Authorized official phone:** (815) 935-9670

## Contact information

- **Practice address:** 1080 ARMOUR RD, BOURBONNAIS, IL 60914-2102
- **Practice address phone:** (815) 935-9670
- **Practice address fax:** (815) 935-9675
- **Mailing address:** PO BOX 457, WHEELING, IL 60090-0457
- **Mailing address phone:** (847) 577-8811
- **Mailing address fax:** (847) 577-9515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 77816 | IL | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 05/26/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4630164 | BLUE CROSS BLUE SHIELD | IL |
| 01 | — | 590014460 | MEDICARE RAILROAD | IL |
| 01 | — | 611645300 | DOL OWCP | IL |