MEDICARE: CAMBRIDGE FIRE PROTECTION DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	2542	IL

General Provider Information

NPI Number	:	1215060330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMBRIDGE FIRE PROTECTION DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 125
Second Line	:
City	:	CAMBRIDGE
State	:	IL
Zip	:	61238-0125
Country	:	US
Telephone Number	:	309-937-2526
Fax Number	:	309-937-5627

Provider Business Practice Location Address
First Line	:	303 S. EAST ROAD
Second Line	:
City	:	CAMBRIDGE
State	:	IL
Zip	:	61238-1308
Country	:	US
Telephone Number	:	309-937-2526
Fax Number	:	309-937-5627

Authorized Official
Title or Position	:	DISTRICT CLERK
Name	:	MRS. DAWN MICHELLE MCKIE
Credential	:
Telephone Number	:	309-937-2526

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	11/03/2011

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