# VILLAGE OF CRETE

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

## Provider details

- **NPI number:** 1205852639
- **Authorized official:** MICHAEL WATERMAN (FIRE CHIEF)
- **Authorized official phone:** (708) 672-5431

## Contact information

- **Practice address:** 524 W EXCHANGE ST, CRETE, IL 60417-2139
- **Practice address phone:** (708) 672-5431
- **Practice address fax:** (708) 672-3920
- **Mailing address:** PO BOX 1053, MOKENA, IL 60448-2052
- **Mailing address phone:** (708) 478-5694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 7314 | IL | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 12/18/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 278720500 | DOL OWCP | IL |
| 01 | — | 590001912 | RR MEDICARE | IL |
| 01 | — | 9970504 | BCBS | IL |