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Contact Information

WAVERLY VOLUNTEER FIRE DEPARTMENT
160 S PROSPECT ST
WAVERLY, IL62692-1168
 Phone: 217-435-2041
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for WAVERLY VOLUNTEER FIRE DEPARTMENT

NPI Number 1538418512
LBN Legal business name WAVERLY VOLUNTEER FIRE DEPARTMENT
Authorized official PAM GUTZMAN - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 09/05/2012
Last updated 01/07/2014 - About 12 years ago
Identifiers
IL License # EMS158956
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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