Organization
BETHANY FIRE PROTECTION & AMBULANCE
Active
Other names
Bethany Fire Protection District
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS RUCKER (CHIEF)
(217) 665-3726
Entity
Organization
Contact information
Practice address
530 E MAIN STREET, BETHANY, IL 61914
(217) 665-3726
(217) 665-3932
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-9515
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
6673901
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07032003
BLUE CROSS BLUE SHIELD
IL
01
—
590015173
MEDICARE RAILROAD
IL
Enumeration date
06/14/2006
Last updated
11/29/2012
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