Organization
ESSEX VOLUNTEER FIRE DEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUSTIN VININGS (FIRE CHIEF)
(815) 365-2508
Entity
Organization
Contact information
Practice address
201 W MAIN ST, ESSEX, IL 60935-0094
(815) 365-2508
Mailing address
PO BOX 94, ESSEX, IL 60935-0094
(815) 365-2508
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
077253
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4632182
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/13/2010
Last updated
04/20/2011
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