Provider Demographics
NPI:1407997869
Name:VILLAGE OF SHEFFIELD
Entity Type:Organization
Organization Name:VILLAGE OF SHEFFIELD
Other - Org Name:SHEFFIELD RESCUE UNIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER SHEFFIELD RESCUE UNIT
Authorized Official - Prefix:
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:STIER
Authorized Official - Suffix:
Authorized Official - Credentials:EMTB
Authorized Official - Phone:815-454-2502
Mailing Address - Street 1:PO BOX 252
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:61344-0252
Mailing Address - Country:US
Mailing Address - Phone:815-454-2715
Mailing Address - Fax:815-454-2262
Practice Address - Street 1:341 W RAILROAD
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:IL
Practice Address - Zip Code:61344-0252
Practice Address - Country:US
Practice Address - Phone:815-454-2715
Practice Address - Fax:815-454-2262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL228973416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL00632011OtherBLUE CROSS BLUE SHIELD
IL=========001Medicaid
IL974920Medicare PIN