1841328564 NPI number — ASHTON FIRE PROTECTION DISTRICT

Table of content: (NPI 1841328564)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841328564 NPI number — ASHTON FIRE PROTECTION DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASHTON FIRE PROTECTION DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
AFPD
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841328564
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/18/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2107 GUILES AVE
Provider Second Line Business Mailing Address:
P.O. BOX 260
Provider Business Mailing Address City Name:
MENDOTA
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
61342-1209
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
815-539-2468
Provider Business Mailing Address Fax Number:
815-539-6427

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
704 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ASHTON
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61006-0485
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-453-7721
Provider Business Practice Location Address Fax Number:
815-453-2343
Provider Enumeration Date:
03/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BAYLOR
Authorized Official First Name:
RYAN
Authorized Official Middle Name:
E
Authorized Official Title or Position:
EMS COORDINATOR
Authorized Official Telephone Number:
815-973-2906

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  1 1005 01 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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