Organization
CRETE TWP FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY MEYER (FIRE CHIEF)
(708) 672-7111
Entity
Organization
Contact information
Practice address
26064 S DIXIE HWY, CRETE, IL 60417-3922
(708) 672-7111
(708) 672-3212
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-7967
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7314
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3631178220
TRICARE NORTH
IL
01
—
590008562
RR MEDICARE
IL
01
—
9921014
BCBS
IL
Enumeration date
07/18/2006
Last updated
08/11/2011
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