Provider Demographics
NPI:1164810255
Name:NORTH BOONE FIRE DISTRICT 3
Entity Type:Organization
Organization Name:NORTH BOONE FIRE DISTRICT 3
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:MADIGAN
Authorized Official - Last Name:OSTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-765-3366
Mailing Address - Street 1:PO BOX 114
Mailing Address - Street 2:
Mailing Address - City:POPLAR GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:61065-0114
Mailing Address - Country:US
Mailing Address - Phone:815-765-3366
Mailing Address - Fax:815-765-9196
Practice Address - Street 1:305 W GROVE ST
Practice Address - Street 2:
Practice Address - City:POPLAR GROVE
Practice Address - State:IL
Practice Address - Zip Code:61065-9040
Practice Address - Country:US
Practice Address - Phone:815-765-3366
Practice Address - Fax:815-765-9196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-26
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL10 1040341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance