Organization
HOPEDALE FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE WILLIS (EMS CO-ORDINATOR)
(309) 208-3663
Entity
Organization
Contact information
Practice address
226 NW MAIN, HOPEDALE, IL 61747-9478
(309) 208-3663
(309) 449-5435
Mailing address
226 NW MAIN, HOPEDALE, IL 61747-9478
(309) 449-5435
(309) 449-5435
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
22539
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009032125
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/01/2006
Last updated
07/12/2012
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