# TONICA VOLUNTEER FIRE DEPT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tonica Volunteer Fire Dept And Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346379989
- **Authorized official:** SUE HUSS (AMBULANCE DIRECTOR)
- **Authorized official phone:** (815) 442-3527

## Contact information

- **Practice address:** 507 N FIRST STREET, TONICA, IL 61370-9456
- **Practice address phone:** (815) 442-3527
- **Practice address fax:** (815) 442-3527
- **Mailing address:** 507 N FIRST STREET, TONICA, IL 61370-9456
- **Mailing address phone:** (815) 442-3527
- **Mailing address fax:** (815) 442-3527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 22550 | IL | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 05032035 | BLUE CROSS BLUE SHIELD | IL |