Organization
NEWARK FIRE PROTECTION DISTRICT
Active
Other names
Newark Fire Protection District
Organization subpart
No
Provider details
NPI number
Authorized official
FLOYD A DIERZEN (PRESIDENT)
(815) 695-5291
Entity
Organization
Contact information
Practice address
101 E. MAIN ST, NEWARK, IL 60541-0577
(815) 695-5147
(815) 695-5125
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
1 7145
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004732059
BLUE CROSS / BLUE SHIELD
IL
Enumeration date
08/28/2006
Last updated
04/20/2008
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