Provider Demographics
NPI:1447277397
Name:DIXON COMMUNITY FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:DIXON COMMUNITY FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:SID
Authorized Official - Middle Name:H
Authorized Official - Last Name:AURAND
Authorized Official - Suffix:
Authorized Official - Credentials:FIRE CHIEF
Authorized Official - Phone:815-284-6897
Mailing Address - Street 1:1020 PALMYRA ST.
Mailing Address - Street 2:
Mailing Address - City:DIXON
Mailing Address - State:IL
Mailing Address - Zip Code:61021-1964
Mailing Address - Country:US
Mailing Address - Phone:815-284-6897
Mailing Address - Fax:815-288-2700
Practice Address - Street 1:1020 PALMYRA ST.
Practice Address - Street 2:
Practice Address - City:DIXON
Practice Address - State:IL
Practice Address - Zip Code:61021-1964
Practice Address - Country:US
Practice Address - Phone:815-284-6897
Practice Address - Fax:815-288-2700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X
IL10043416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5215219OtherBCBS
IL590003093OtherRR MEDICARE
IL590003093OtherRR MEDICARE
IL5215219OtherBCBS
IL590003093OtherRR MEDICARE
IL5215219OtherBCBS