Provider Demographics
NPI:1962713495
Name:COAL VALLEY FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:COAL VALLEY FIRE PROTECTION DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:DUNHAM
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:309-799-5534
Mailing Address - Street 1:103 W 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:COAL VALLEY
Mailing Address - State:IL
Mailing Address - Zip Code:61240-9337
Mailing Address - Country:US
Mailing Address - Phone:309-799-5534
Mailing Address - Fax:309-799-8446
Practice Address - Street 1:103 W 18TH AVE
Practice Address - Street 2:
Practice Address - City:COAL VALLEY
Practice Address - State:IL
Practice Address - Zip Code:61240
Practice Address - Country:US
Practice Address - Phone:309-799-5534
Practice Address - Fax:309-799-8446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-30
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport