# BLACKHAWK FIRE PROTECTION DISTRICT

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

## Provider details

- **NPI number:** 1740809870
- **Authorized official:** JONATHAN TRAIL (FIRE CHIEF)
- **Authorized official phone:** (815) 962-1584

## Contact information

- **Practice address:** 3738 S MAIN ST, ROCKFORD, IL 61102-4239
- **Practice address phone:** (815) 962-1584
- **Practice address fax:** (815) 962-4275
- **Mailing address:** PO BOX 260, MENDOTA, IL 61342-0260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 04/09/2020
- **Last updated:** 07/13/2022