# BIG ROCK FIRE PROTECTION DISTRICT

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

## Provider details

- **NPI number:** 1255374294
- **Authorized official:** JOHN RUTH (CHIEF)
- **Authorized official phone:** (630) 556-3214

## Contact information

- **Practice address:** 47W863 2ND ST, BIG ROCK, IL 60511
- **Practice address phone:** (630) 556-3214
- **Practice address fax:** (630) 556-3427
- **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 | 97914 | IL | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4521577 | BLUE CROSS BLUE SHIELD | IL |