# COUNTY OF WOODFORD VILLAGE OF ROANOKE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Roanoke Municipal Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508988288
- **Authorized official:** JUNE FEHR (CHIEF)
- **Authorized official phone:** (309) 923-7096

## Contact information

- **Practice address:** 101 N MAIN ST, ROANOKE, IL 61561-7598
- **Practice address phone:** (309) 923-3661
- **Mailing address:** 101 N MAIN ST, ROANOKE, IL 61561-7598
- **Mailing address phone:** (309) 923-3661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 2 2503 | IL | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 07/09/2008