# LAKE EGYPT FIRE PROTECTION DISTRICT

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

## Provider details

- **NPI number:** 1255457636
- **Authorized official:** BRADY LOGAN CRANE (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (618) 964-1278

## Contact information

- **Practice address:** 12228 LAKE OF EGYPT RD., MARION, IL 62959
- **Practice address phone:** (618) 964-1278
- **Practice address fax:** (618) 964-1287
- **Mailing address:** 12228 LAKE OF EGYPT RD., MARION, IL 62959
- **Mailing address phone:** (618) 964-1278
- **Mailing address fax:** (618) 964-1287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 055218 | IL | Yes |
| 3416L0300X | Land Ambulance | 1770271 | IL | — |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 01/11/2013