# PATOKA FIRE PROTECTION DISTRICT

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

## Provider details

- **NPI number:** 1477571651
- **Authorized official:** MR. R. BLAKE HYDE (FIRE CHIEF)
- **Authorized official phone:** (618) 432-7258

## Contact information

- **Practice address:** 202 WEST FAYETTE AVE, PATOKA, IL 62875-1061
- **Practice address phone:** (618) 432-5336
- **Practice address fax:** (618) 432-5819
- **Mailing address:** 202 WEST FAYETTE AVE, PATOKA, IL 62875-1061
- **Mailing address phone:** (618) 432-5336
- **Mailing address fax:** (618) 432-5819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 5 5213 | IL | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 08/22/2020