Organization
WASHBURN FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADD HARMS (PRESIDENT)
(309) 253-5625
Entity
Organization
Contact information
Practice address
207 E WALNUT ST, WASHBURN, IL 61570
(309) 248-7721
(309) 248-7219
Mailing address
PO BOX 23, WASHBURN, IL 61570-0023
(309) 248-7219
(309) 248-7219
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
22583
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010270847
BLUE CROSS
IL
Enumeration date
02/09/2007
Last updated
04/10/2023
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