Provider Demographics
NPI:1558598029
Name:WIN BUR SEW FIRE PROTECTION DIST
Entity Type:Organization
Organization Name:WIN BUR SEW FIRE PROTECTION DIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-335-2651
Mailing Address - Street 1:PO 595
Mailing Address - Street 2:
Mailing Address - City:WINNEBAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60108-7720
Mailing Address - Country:US
Mailing Address - Phone:815-335-2651
Mailing Address - Fax:815-335-1104
Practice Address - Street 1:110 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WINNEBAGO
Practice Address - State:IL
Practice Address - Zip Code:61088-7720
Practice Address - Country:US
Practice Address - Phone:815-335-2651
Practice Address - Fax:815-335-1104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-11
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001OtherPUBLIC AID
IL=========001OtherPUBLIC AID