Greater Round Lake Fire Protection in Round Lake - Land Transport

Greater Round Lake Fire Protection - NPI 1588751598

Greater Round Lake Fire Protection is a Land Transport in Round Lake, Illinois. Greater Round Lake Fire Protection practices all healthcare services and medical treatments related to Land Transport. The NPI Number for Greater Round Lake Fire Protection is 1588751598. The last update date is 2020-04-13.

Greater Round Lake Fire Protection's current location address is 409 W Nippersink Rd, Round Lake, Illinois. You can contact this provider via phone number 8475466001 and fax number 8475460758. The mailing address for Greater Round Lake Fire Protection is 409 W Nippersink Rd, Round Lake, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Greater Round Lake Fire Protection
Address 409 W Nippersink Rd, Round Lake, Illinois
Phone Number 8475466001
Fax Number 8475460758
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Lucassen Marilee
Telephone Number 8475466001

NPI Number Detail

NPI Number 1588751598
Provider Enumeration Date 2006-10-10
Last Updated Date 2020-04-13

Provider Mailing Address Detail

Address 409 W Nippersink Rd
City Round Lake
State Illinois (IL)
Post Code 600733223
Phone Number 8475466001
Fax Number 8475460758

Provider's Primary Taxonomy Detail

Speciality Land Transport
Taxonomy 3416L0300X
Licence No 107274
Definition:
Provides emergency patient transportation by ground using specialized vehicles equipped with medical equipment and staffed by medical personnel.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4990005 IL BCBS
791590040 IL RAILROAD MEDICARE

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FAQs about Greater Round Lake Fire Protection

What is the Greater Round Lake Fire Protection's 1588751598?

The Greater Round Lake Fire Protection's NPI (National Provider Identifier) Number is 1588751598. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Greater Round Lake Fire Protection?

The Greater Round Lake Fire Protection is situated at 409 W Nippersink Rd, in the city of Round Lake, state of IL, with the zip code 600733223.

What is Greater Round Lake Fire Protection's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Greater Round Lake Fire Protection's specialized field of practice is Land Transport, and the corresponding taxonomy code that categorizes this area of specialization is 3416L0300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1588751598 to Greater Round Lake Fire Protection?

The Centers for Medicare & Medicaid Services assigned the 1588751598 to Greater Round Lake Fire Protection on 2006-10-10.

When was the information pertaining to Greater Round Lake Fire Protection most recently updated or revised?

The details related to Greater Round Lake Fire Protection, including its address, specialty, and other relevant information, were last updated or revised on 2020-04-13.

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