Provider Demographics
NPI:1467687525
Name:WALNUT FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:WALNUT FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESCUE CAPTIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-379-2341
Mailing Address - Street 1:PO BOX 523
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:IL
Mailing Address - Zip Code:61376-0523
Mailing Address - Country:US
Mailing Address - Phone:815-379-2341
Mailing Address - Fax:815-379-9531
Practice Address - Street 1:122 E JACKSON STREET
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:IL
Practice Address - Zip Code:61376-0523
Practice Address - Country:US
Practice Address - Phone:815-379-2341
Practice Address - Fax:815-379-9531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0000128953416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport