Organization
HARLEM ROSCOE FIRE PROTECTION DISTRICT
Active
Other names
Harlem Roscoe Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD SHOEVLIN (CHIEF)
(815) 623-7867
Entity
Organization
Contact information
Practice address
10544 MAIN ST, ROSCOE, IL 61073-8829
(815) 623-7867
(815) 623-8831
Mailing address
10544 MAIN ST, PO BOX 450, ROSCOE, IL 61073-0450
(815) 623-7867
(815) 623-8831
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381320
MEDICARE
—
Enumeration date
04/02/2007
Last updated
01/24/2013
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