Provider Demographics
NPI:1285762898
Name:PAW PAW COMMUNITY FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:PAW PAW COMMUNITY FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:MULCAHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-530-1416
Mailing Address - Street 1:PO BOX 81
Mailing Address - Street 2:
Mailing Address - City:PAW PAW
Mailing Address - State:IL
Mailing Address - Zip Code:61353-0081
Mailing Address - Country:US
Mailing Address - Phone:815-627-3511
Mailing Address - Fax:815-627-3011
Practice Address - Street 1:244 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:PAW PAW
Practice Address - State:IL
Practice Address - Zip Code:61353
Practice Address - Country:US
Practice Address - Phone:815-627-3511
Practice Address - Fax:815-627-3011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL011343341600000X
IL1 1343 013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
P01090373OtherRAILROAD M/C
P01090373OtherRAILROAD M/C