GRAND RIDGE VOLUNTEER FIRE DEPARTMENT,INC.; NPI #1104065911

Contact Information

GRAND RIDGE VOLUNTEER FIRE DEPARTMENT,INC.

5 E MAIN ST
GRAND RIDGE, IL 61325-9122

Phone: 815-249-5278
Fax: 815-249-5526
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for GRAND RIDGE VOLUNTEER FIRE DEPARTMENT,INC.

NPI Number 1104065911

LBN Legal business name GRAND RIDGE VOLUNTEER FIRE DEPARTMENT,INC.

Authorized official RONALD WILSON - (TRUSTEE VICE-PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/18/2009

Last updated 05/17/2009 - About 17 years ago

Identifiers

License #

02 2534

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GRAND RIDGE VOLUNTEER FIRE DEPARTMENT,INC.

Contact Information

Specialty

Ambulance

NPI Profile & details for GRAND RIDGE VOLUNTEER FIRE DEPARTMENT,INC.

Reviews for GRAND RIDGE VOLUNTEER FIRE DEPARTMENT,INC.