# CITY OF OTTAWA ILLINOIS

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

## Provider details

- **NPI number:** 1477592798
- **Authorized official:** JEFF NEWBURY (FIRE CHIEF)
- **Authorized official phone:** (815) 434-3785

## Contact information

- **Practice address:** 301 W LAFAYETTE ST, OTTAWA, IL 61350-5700
- **Practice address phone:** (815) 434-3785
- **Practice address fax:** (815) 434-3805
- **Mailing address:** PO BOX 260, MENDOTA, IL 61342-0260
- **Mailing address phone:** (815) 539-2468
- **Mailing address fax:** (815) 539-6427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 2963 | IL | Yes |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 04/01/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 05032006 | BCBS | IL |
| 01 | — | 590008306 | RR MEDICARE | IL |
| 01 | — | 611185500 | DOL / OWCP | IL |