Healthcare Provider Details

I. General information

NPI: 1336410661
Provider Name (Legal Business Name): GARDNER FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2012
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 DEPOT ST
GARDNER IL
60424-0181
US

IV. Provider business mailing address

P O BOX 181
GARDNER IL
60424-0181
US

V. Phone/Fax

Practice location:
  • Phone: 815-237-8806
  • Fax:
Mailing address:
  • Phone: 815-237-8806
  • Fax: 815-237-0066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number7819
License Number StateIL

VIII. Authorized Official

Name: MR. DONALD L PFEIFER JR.
Title or Position: TREASURER
Credential:
Phone: 815-237-8806