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Organization
CITY OF OTTAWA ILLINOIS
Active
Organization
CITY OF OTTAWA ILLINOIS
Active
Other names
Ottawa Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF NEWBURY (FIRE CHIEF)
(815) 434-3785
Entity
Organization
Contact information
Practice address
301 W LAFAYETTE ST, OTTAWA, IL 61350-5700
(815) 434-3785
(815) 434-3805
Mailing address
PO BOX 260, MENDOTA, IL 61342-0260
(815) 539-2468
(815) 539-6427
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2963
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05032006
BCBS
IL
01
—
590008306
RR MEDICARE
IL
01
—
611185500
DOL / OWCP
IL
Enumeration date
06/05/2006
Last updated
04/01/2013
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