Healthcare Provider Details

I. General information

NPI: 1427030972
Provider Name (Legal Business Name): EL PASO FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 09/08/2023
Certification Date: 09/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 S FAYETTE ST
EL PASO IL
61738-1442
US

IV. Provider business mailing address

PO BOX 194
EL PASO IL
61738-0194
US

V. Phone/Fax

Practice location:
  • Phone: 309-527-6145
  • Fax: 309-527-6146
Mailing address:
  • Phone: 309-527-6145
  • Fax: 309-527-6146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1690671
License Number StateIL

VIII. Authorized Official

Name: JEANNIE MEKLEY
Title or Position: EMS CHIEF
Credential:
Phone: 309-527-6145