Organization
PROPHETSTOWN FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE FRANKS (ADMINSTRATOR)
(815) 537-2215
Entity
Organization
Contact information
Practice address
104 W 2ND ST, PROPHETSTOWN, IL 61277-1121
(815) 537-2215
(815) 537-2215
Mailing address
104 W 2ND ST, PROPHETSTOWN, IL 61277-1121
(815) 537-2215
(815) 537-2215
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
11315
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59012887
RAILROAD MEDICARE
IL
01
—
9832010
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/17/2006
Last updated
04/20/2011
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