# MACKINAW FIRE PROTECTION DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mackinaw Rescue Squad
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295884708
- **Authorized official:** MRS. MARION LEE JACOBS (SECRETARY TREASURER)
- **Authorized official phone:** (309) 359-3571

## Contact information

- **Practice address:** 104 W MADISON, MACKINAW, IL 61755
- **Practice address phone:** (309) 359-3571
- **Mailing address:** 104 W MADISON, MACKINAW, IL 61755
- **Mailing address phone:** (309) 359-3571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 22593 | IL | Yes |
| 3416L0300X | Land Ambulance | 2259301 | IL | — |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0009070901 | BCBS | IL |