# AMBOY FIRE PROTECTION DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508992439
- **Authorized official:** MR. JEFF BRYANT I (FIRE CHIEF)
- **Authorized official phone:** (815) 857-2325

## Contact information

- **Practice address:** 25 N EAST AVE, AMBOY, IL 61310-1330
- **Practice address phone:** (815) 857-2325
- **Practice address fax:** (815) 857-2066
- **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 | 151883 | IL | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 09/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 590028249 | RAILROAD MEDICARE | IL |