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Organization
TOWN OF NORMAL
Active
Organization
TOWN OF NORMAL
Active
Other names
Normal Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MICK HUMER (FIRE CHIEF)
(309) 454-9610
Entity
Organization
Contact information
Practice address
1300 E COLLEGE AVE, NORMAL, IL 61761-2063
(309) 454-9610
(309) 454-9735
Mailing address
100 E PHOENIX AVE, NORMAL, IL 61761-3018
(309) 454-9689
(309) 454-9735
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
2 6738
IL
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00338360
RR MEDICARE
IN
Enumeration date
05/13/2006
Last updated
10/28/2024
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