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Contact Information

BLUEGRASS FIRE PROTECTION DISTRICT
125 N LOGAN ST.
POTOMAC, IL61865-0260
 Phone: 217-987-6560
 Fax: 855-243-5633
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for BLUEGRASS FIRE PROTECTION DISTRICT

NPI # 1992883953
LBN Legal business name BLUEGRASS FIRE PROTECTION DISTRICT
Authorized official RANDY NIVER - (EMS COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 09/09/2015 - About 11 years ago
Identifiers
IL License # 006764
IL Medicaid 37600239001
Other 09270870 BLUE CROSS
Other 590014094 RR 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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