Provider Demographics
NPI:1588850770
Name:SHANNON FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:SHANNON FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:KLINEFELTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-864-2142
Mailing Address - Street 1:PO BOX 549
Mailing Address - Street 2:
Mailing Address - City:SHANNON
Mailing Address - State:IL
Mailing Address - Zip Code:61078-0549
Mailing Address - Country:US
Mailing Address - Phone:815-864-2142
Mailing Address - Fax:
Practice Address - Street 1:14 S HICKORY
Practice Address - Street 2:
Practice Address - City:SHANNON
Practice Address - State:IL
Practice Address - Zip Code:61078-0549
Practice Address - Country:US
Practice Address - Phone:815-864-2142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport