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Organization

BOURBONNAIS FIRE DISTRICT

Active
Other names
Bourbonnais Fire Department
Organization subpart
No

Provider details

NPI number
Authorized official
ED ST LOUIS (CHIEF)
(815) 935-9670
Entity
Organization

Contact information

Practice address
1080 ARMOUR RD, BOURBONNAIS, IL 60914-2102
(815) 935-9670
(815) 935-9675
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-9515

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
77816
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4630164
BLUE CROSS BLUE SHIELD
IL
01
590014460
MEDICARE RAILROAD
IL
01
611645300
DOL OWCP
IL
Enumeration date
06/04/2006
Last updated
05/26/2009
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