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Organization
WASHINGTON VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC
Active
Organization
WASHINGTON VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC
Active
Other names
Washington Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH HOFSTETTER (BILLING)
(309) 444-8152
Entity
Organization
Contact information
Practice address
200 N WILMORE RD, WASHINGTON, IL 61571-1249
(309) 444-8642
(309) 444-7421
Mailing address
PO BOX 322, WASHINGTON, IL 61571-0322
(309) 444-2511
(309) 444-9532
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
NULL
3416L0300X
Land Ambulance
Primary
2586
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590001335
RR MEDICARE
IL
01
—
9090008
BCBS
IL
Enumeration date
07/08/2006
Last updated
07/13/2022
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