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Organization
HARLEM ROSCOE FIRE PROTECTION DISTRICT
Active
Organization
HARLEM ROSCOE FIRE PROTECTION DISTRICT
Active
Other names
Harlem Roscoe Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD SHOEVLIN (CHIEF)
(815) 623-7867
Entity
Organization
Contact information
Practice address
10544 MAIN ST, ROSCOE, IL 61073-8829
(815) 623-7867
(815) 623-8831
Mailing address
10544 MAIN ST, PO BOX 450, ROSCOE, IL 61073-0450
(815) 623-7867
(815) 623-8831
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381320
MEDICARE
—
Enumeration date
04/02/2007
Last updated
01/24/2013
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