Organization
GRAND RIDGE VOLUNTEER FIRE DEPARTMENT,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD E WILSON (TRUSTEE VICE-PRESIDENT)
(815) 651-4466
Entity
Organization
Contact information
Practice address
5 E MAIN ST, GRAND RIDGE, IL 61325-9122
(815) 249-5278
(815) 249-5526
Mailing address
PO BOX 260, MENDOTA, IL 61342-0260
(815) 539-2468
(815) 539-6427
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
02 2534
IL
Other
Enumeration date
02/18/2009
Last updated
05/17/2009
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