Organization
AMBOY FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF BRYANT I (FIRE CHIEF)
(815) 857-2325
Entity
Organization
Contact information
Practice address
25 N EAST AVE, AMBOY, IL 61310-1330
(815) 857-2325
(815) 857-2066
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
151883
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590028249
RAILROAD MEDICARE
IL
Enumeration date
02/26/2007
Last updated
09/09/2015
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