Provider Demographics
NPI:1518988724
Name:HAMPSHIRE FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:HAMPSHIRE FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-683-2629
Mailing Address - Street 1:395 W LAKE ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-1508
Mailing Address - Country:US
Mailing Address - Phone:630-530-2988
Mailing Address - Fax:630-903-2830
Practice Address - Street 1:202 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:HAMPSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60140-7629
Practice Address - Country:US
Practice Address - Phone:847-683-2629
Practice Address - Fax:847-683-1404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL971933416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL791590254OtherRAILROAD MEDICARE
IL045-71308OtherBLUE CROSS BLUE SHIELD
IL=========001OtherPUBLIC AID
IL791590254OtherRAILROAD MEDICARE