Provider Demographics
NPI:1609819697
Name:BEECHER FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:BEECHER FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:FALASCHETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-946-6585
Mailing Address - Street 1:PO BOX 1053
Mailing Address - Street 2:
Mailing Address - City:MOKENA
Mailing Address - State:IL
Mailing Address - Zip Code:60448-2052
Mailing Address - Country:US
Mailing Address - Phone:708-478-5694
Mailing Address - Fax:
Practice Address - Street 1:711 PENFIELD STREET
Practice Address - Street 2:
Practice Address - City:BEECHER
Practice Address - State:IL
Practice Address - Zip Code:60401
Practice Address - Country:US
Practice Address - Phone:708-946-6585
Practice Address - Fax:708-946-3723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL77930341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL590014456OtherMEDICARE RAILROAD
IL9919313OtherBLUE CROSS BLUE SHIELD
IL960130Medicare ID - Type Unspecified