Organization
CITY OF SOUTH BELOIT
Active
Other names
South Beloit Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
DON ELLOIT (FINANCE DIRECTOR)
(815) 389-3023
Entity
Organization
Contact information
Practice address
519 BLACKHAWK BLVD, SOUTH BELOIT, IL 61080-1977
(815) 389-3023
(815) 389-8830
Mailing address
519 BLACKHAWK BLVD STE 2, SOUTH BELOIT, IL 61080-1977
(847) 577-8811
(847) 577-7967
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1416
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10119295
BCBS
IL
01
—
590008426
RR MEDICARE
IL
Enumeration date
07/09/2006
Last updated
02/20/2026
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