Provider Demographics
NPI:1538618483
Name:LEXINGTON COMMUNITY FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:LEXINGTON COMMUNITY FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-365-8703
Mailing Address - Street 1:PO BOX 194
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61753-0194
Mailing Address - Country:US
Mailing Address - Phone:309-365-8477
Mailing Address - Fax:580-628-2267
Practice Address - Street 1:102 S BENSON ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:IL
Practice Address - Zip Code:61753-1200
Practice Address - Country:US
Practice Address - Phone:309-365-8477
Practice Address - Fax:580-628-2267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-03
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0228323416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport