Organization
CITY OF OTTAWA ILLINOIS
Active
Other names
Ottawa Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF NEWBURY (FIRE CHIEF)
(815) 434-3785
Entity
Organization
Contact information
Practice address
301 W LAFAYETTE ST, OTTAWA, IL 61350-5700
(815) 434-3785
(815) 434-3805
Mailing address
PO BOX 260, MENDOTA, IL 61342-0260
(815) 539-2468
(815) 539-6427
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2963
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05032006
BCBS
IL
01
—
590008306
RR MEDICARE
IL
01
—
611185500
DOL / OWCP
IL
Enumeration date
06/05/2006
Last updated
04/01/2013
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