GARDNER VOLUNTEER FIRE DEPARTMENT; NPI #1689748139

Contact Information

GARDNER VOLUNTEER FIRE DEPARTMENT

206 DEPOT STREET
GARDNER, IL 60424

Phone: 815-237-8806
Fax: 815-237-0066
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 GARDNER VOLUNTEER FIRE DEPARTMENT

NPI Number 1689748139

LBN Legal business name GARDNER VOLUNTEER FIRE DEPARTMENT

Authorized official RANDY WILKEY - (FIRE CHIEF)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/17/2006

Last updated 04/20/2011 - About 15 years ago

Identifiers

IL	License #	77819
	Other	P00154114	RAILROAD MEDICARE
IL	Other	332002	BLUE CROSS BLUE SHIELD
IL	Other	P00154114	RAILROAD MEDICARE

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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