Provider Demographics
NPI:1447352562
Name:GERMAN VALLEY FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:GERMAN VALLEY FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARAMEDIC/BILLER
Authorized Official - Prefix:
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-362-2245
Mailing Address - Street 1:PO BOX 46
Mailing Address - Street 2:
Mailing Address - City:GERMAN VALLEY
Mailing Address - State:IL
Mailing Address - Zip Code:61039-0046
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 CHURCH ST # 46
Practice Address - Street 2:
Practice Address - City:GERMAN VALLEY
Practice Address - State:IL
Practice Address - Zip Code:61039-9501
Practice Address - Country:US
Practice Address - Phone:815-362-2245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL137701341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL363207191001Medicaid
ILIL7520Medicare PIN