Organization
FREEPORT RURAL FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN KROEGER (TRUSTEE)
(815) 275-7896
Entity
Organization
Contact information
Practice address
330 W PLEASANT ST, FREEPORT, IL 61032-5104
(815) 235-2353
Mailing address
330 W PLEASANT ST, FREEPORT, IL 61032-5104
(815) 235-2353
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1572829
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3660058860011
—
IL
01
—
399220
MEDICARE PTAN
IL
01
—
P00310558
RAILROAD MEDICARE
IL
Enumeration date
03/28/2007
Last updated
01/07/2020
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