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Organization

KIRKLAND COMMUNITY FIRE DISTRICT

Active
Other names
Kirkland Fire & Rescue
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL PAULL STOTT (DEPUTY CHIEF)
(815) 276-4235
Entity
Organization

Contact information

Practice address
3891 STATE ROUTE 72, KIRKLAND, IL 60146-8635
(815) 522-4414
(815) 522-4414
Mailing address
3891 RR # 72, BOX 657, KIRKLAND, IL 60146
(815) 522-4414
(815) 522-6132

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
11048
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01970849
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/08/2007
Last updated
08/06/2010
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