SOUTH WILMINGTON VOLUNTEER FIRE; NPI #1982826665

Contact Information

SOUTH WILMINGTON VOLUNTEER FIRE

330 LAKE ST
SOUTH WILMINGTON, IL 60474

Phone: 815-237-2244
Fax: 815-237-8034
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 SOUTH WILMINGTON VOLUNTEER FIRE

NPI # 1982826665

LBN Legal business name SOUTH WILMINGTON VOLUNTEER FIRE

Authorized official CHRISTINA KOVALCIK - (EMS COORDINATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/03/2007

Last updated 12/28/2012 - About 13 years ago

Identifiers

License #

782301

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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