BRACEVILLE FIRE PROTECTION DISTRICT; NPI #1447344866

Contact Information

BRACEVILLE FIRE PROTECTION DISTRICT

102 MAIN ST.,
BRACEVILLE, IL 60407

Phone: 815-237-8682
Fax: 815-237-8720
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for BRACEVILLE FIRE PROTECTION DISTRICT

NPI Number 1447344866

LBN Legal business name BRACEVILLE FIRE PROTECTION DISTRICT

Authorized official RANDY BERRY - (TRUSTEE/TREASURER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/02/2006

Last updated 07/21/2014 - About 12 years ago

Identifiers

IL	License #	77115
IL	Medicaid	364366065001
IL	Other	03232037	BCBS

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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