Organization
WASHINGTON VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC
Active
Other names
Washington Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH HOFSTETTER (BILLING)
(309) 444-8152
Entity
Organization
Contact information
Practice address
200 N WILMORE RD, WASHINGTON, IL 61571-1249
(309) 444-8642
(309) 444-7421
Mailing address
PO BOX 322, WASHINGTON, IL 61571-0322
(309) 444-2511
(309) 444-9532
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
2586
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590001335
RR MEDICARE
IL
01
—
9090008
BCBS
IL
Enumeration date
07/08/2006
Last updated
07/13/2022
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