Provider Demographics
NPI:1164146379
Name:CITY OF WATSEKA
Entity Type:Organization
Organization Name:CITY OF WATSEKA
Other - Org Name:WATSEKA FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:YANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-867-0200
Mailing Address - Street 1:201 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:WATSEKA
Mailing Address - State:IL
Mailing Address - Zip Code:60970-1273
Mailing Address - Country:US
Mailing Address - Phone:815-867-0200
Mailing Address - Fax:
Practice Address - Street 1:201 N 5TH ST
Practice Address - Street 2:
Practice Address - City:WATSEKA
Practice Address - State:IL
Practice Address - Zip Code:60970-1273
Practice Address - Country:US
Practice Address - Phone:815-867-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-30
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Multi-Specialty
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty