Provider Demographics
NPI:1346421492
Name:DOWNS COMMUNITY FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:DOWNS COMMUNITY FIRE PROTECTION DISTRICT
Other - Org Name:DOWNS FIRE DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:EMT COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BETTISCH
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B
Authorized Official - Phone:309-378-4020
Mailing Address - Street 1:102 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DOWNS
Mailing Address - State:IL
Mailing Address - Zip Code:61736-9600
Mailing Address - Country:US
Mailing Address - Phone:309-378-2021
Mailing Address - Fax:309-378-2054
Practice Address - Street 1:108 SEMINARY ST
Practice Address - Street 2:
Practice Address - City:DOWNS
Practice Address - State:IL
Practice Address - Zip Code:61736
Practice Address - Country:US
Practice Address - Phone:309-378-2021
Practice Address - Fax:309-378-2054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL25071341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance