# ODELL FIRE PROTECTION DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Odell Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346313350
- **Authorized official:** MR. BRIAN MILLS (EMS COORDINATOR)
- **Authorized official phone:** (815) 998-2410

## Contact information

- **Practice address:** 210 SOUTH FRONT, ODELL, IL 60460-0435
- **Practice address phone:** (815) 998-2410
- **Practice address fax:** (815) 998-1326
- **Mailing address:** PO BOX 435, 210 SOUTH FRONT, ODELL, IL 60460-0435
- **Mailing address phone:** (815) 998-2410
- **Mailing address fax:** (815) 998-1326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 2 2988 | IL | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 05332021 | BLUE CROSS BLUE SHIELD | IL |