Organization
WALNUT FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN K DAVIS (RESCUE CAPTIAN)
(815) 379-2341
Entity
Organization
Contact information
Practice address
122 E JACKSON STREET, WALNUT, IL 61376-0523
(815) 379-2341
(815) 379-9531
Mailing address
PO BOX 523, WALNUT, IL 61376-0523
(815) 379-2341
(815) 379-9531
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
000012895
IL
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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