Provider Demographics
NPI:1235258526
Name:ROCKTON FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:ROCKTON FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:WEAVEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-235-2353
Mailing Address - Street 1:201 N BLACKHAWK BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKTON
Mailing Address - State:IL
Mailing Address - Zip Code:61072-2405
Mailing Address - Country:US
Mailing Address - Phone:815-624-6010
Mailing Address - Fax:815-624-7825
Practice Address - Street 1:201 N BLACKHAWK BLVD
Practice Address - Street 2:
Practice Address - City:ROCKTON
Practice Address - State:IL
Practice Address - Zip Code:61072-2405
Practice Address - Country:US
Practice Address - Phone:815-624-6010
Practice Address - Fax:815-624-7825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL17460823416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0010130104OtherBSBS OF IL
IL=========0011Medicaid
IL=========0011Medicaid