# HOMETOWN FIRE PROTECTION DISTRICT

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

## Provider details

- **NPI number:** 1780698050
- **Authorized official:** MICHAEL KOCABA (FIRE CHIEF)
- **Authorized official phone:** (708) 422-2182

## Contact information

- **Practice address:** 4301 SOUTHWEST HWY, HOMETOWN, IL 60456-1110
- **Practice address phone:** (708) 422-2182
- **Practice address fax:** (708) 499-3894
- **Mailing address:** PO BOX 457, WHEELING, IL 60090-0457
- **Mailing address phone:** (847) 577-8811
- **Mailing address fax:** (847) 577-7967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 8175 | IL | Yes |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1620348 | BCBS | IL |