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Organization
NUNDA RURAL FIRE PROTECTION DIST FIRE & RESCUE INSUR & AUDIT
Active
Organization
NUNDA RURAL FIRE PROTECTION DIST FIRE & RESCUE INSUR & AUDIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HOOVER (FIRE CHIEF)
(815) 455-1559
Entity
Organization
Contact information
Practice address
1713 ROUTE 176, CRYSTAL LAKE, IL 60014
(815) 455-1559
(847) 577-7967
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-7967
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7139
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299334
ANTHEM BCBS MEDIGAP
IL
01
—
5632048
BCBS
IL
Enumeration date
06/15/2006
Last updated
08/08/2012
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