Provider Demographics
NPI:1164567707
Name:TOLUCA FIRE PROTECTION AND AMBULANCE DISTRICT
Entity Type:Organization
Organization Name:TOLUCA FIRE PROTECTION AND AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHUMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-452-2120
Mailing Address - Street 1:PO BOX 321
Mailing Address - Street 2:
Mailing Address - City:TOLUCA
Mailing Address - State:IL
Mailing Address - Zip Code:61369-0321
Mailing Address - Country:US
Mailing Address - Phone:815-452-2120
Mailing Address - Fax:815-257-1425
Practice Address - Street 1:322 W. RAILROAD
Practice Address - Street 2:
Practice Address - City:TOLUCA
Practice Address - State:IL
Practice Address - Zip Code:61369-0321
Practice Address - Country:US
Practice Address - Phone:815-452-2120
Practice Address - Fax:815-257-1425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL697900Medicare ID - Type Unspecified
IL697900Medicare ID - Type Unspecified