Organization
WATERMAN COMMUNITY FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN BOWMAN (FIRE CHIEF)
(815) 264-3284
Entity
Organization
Contact information
Practice address
160 NORTH CEDAR ST, WATERMAN, IL 60556
(815) 264-3284
(815) 264-3284
Mailing address
PO BOX 260, MENDOTA, IL 61342-0260
(815) 539-2468
(815) 539-6427
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1011
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01932053
BCBS
IL
01
—
P00360356
RR MEDICARE
IL
Enumeration date
07/08/2006
Last updated
04/26/2013
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