# WALNUT FIRE DEPARTMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083764880
- **Authorized official:** MR. JONATHAN K DAVIS (RESCUE CAPTAIN)
- **Authorized official phone:** (815) 379-9257

## Contact information

- **Practice address:** 115 LIBERTY STREET, WALNUT, IL 61376
- **Practice address phone:** (815) 379-2341
- **Practice address fax:** (815) 379-9531
- **Mailing address:** 115 LIBERTY STREET P.O. BOX 277, WALNUT, IL 61376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 2895 | IL | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 09/07/2007