Organization
MACKINAW FIRE PROTECTION DISTRICT
Active
Other names
Mackinaw Rescue Squad
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARION LEE JACOBS (SECRETARY TREASURER)
(309) 359-3571
Entity
Organization
Contact information
Practice address
104 W MADISON, MACKINAW, IL 61755
(309) 359-3571
Mailing address
104 W MADISON, MACKINAW, IL 61755
(309) 359-3571
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
22593
IL
3416L0300X
Land Ambulance
2259301
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009070901
BCBS
IL
Enumeration date
01/10/2007
Last updated
04/20/2008
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