# PEORIA FIRE DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peoria Fire Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427728682
- **Authorized official:** ROLAND TENLEY PARAMEDIC (BATTALION CHIEF OF EMS)
- **Authorized official phone:** (309) 494-8794

## Contact information

- **Practice address:** 505 NE MONROE, PEORIA, IL 61603
- **Practice address phone:** (309) 494-8794
- **Mailing address:** 505 NE MONROE, PEORIA, IL 61603
- **Mailing address phone:** (309) 494-8794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2021
- **Last updated:** 09/17/2021
