Provider Demographics
NPI:1023311081
Name:DANVERS COMMUNITY FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:DANVERS COMMUNITY FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSECRANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-963-4812
Mailing Address - Street 1:208 E MAIN ST
Mailing Address - Street 2:PO BOX 268
Mailing Address - City:DANVERS
Mailing Address - State:IL
Mailing Address - Zip Code:61732-9384
Mailing Address - Country:US
Mailing Address - Phone:309-963-4812
Mailing Address - Fax:
Practice Address - Street 1:208 E MAIN ST
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:IL
Practice Address - Zip Code:61732-9384
Practice Address - Country:US
Practice Address - Phone:309-963-4812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-14
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0227343416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport