Provider Demographics
NPI:1063007342
Name:VARNA COMMUNITY FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:VARNA COMMUNITY FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:FULLER
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:815-383-1494
Mailing Address - Street 1:50 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:VARNA
Mailing Address - State:IL
Mailing Address - Zip Code:61375-8953
Mailing Address - Country:US
Mailing Address - Phone:309-463-2573
Mailing Address - Fax:
Practice Address - Street 1:50 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:VARNA
Practice Address - State:IL
Practice Address - Zip Code:61375-8953
Practice Address - Country:US
Practice Address - Phone:309-463-2573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport