Organization
TAMPICO FIRE PROTECTION DISTRICT
Active
Other names
tampico ambulance service
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY FETROW (CO-COORDINATOR)
(815) 438-2082
Entity
Organization
Contact information
Practice address
105 N. MAIN ST, TAMPICO, IL 61283
(815) 438-2082
(815) 438-2082
Mailing address
PO BOX 471, 105 N MAIN ST, TAMPICO, IL 61283-0471
(815) 438-2082
(815) 438-2082
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
138302
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9832004
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/17/2006
Last updated
04/20/2011
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