MEDICARE: BYRON 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	135301	IL

General Provider Information

NPI Number	:	1821011297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BYRON FIRE PROTECTION DISTRICT

Provider Business Mailing Address
First Line	:	123 N FRANKLIN ST
Second Line	:
City	:	BYRON
State	:	IL
Zip	:	61010
Country	:	US
Telephone Number	:	815-234-4911
Fax Number	:	815-234-2580

Provider Business Practice Location Address
First Line	:	123 N FRANKLIN ST
Second Line	:
City	:	BYRON
State	:	IL
Zip	:	61010
Country	:	US
Telephone Number	:	815-234-4911
Fax Number	:	815-234-2580

Authorized Official
Title or Position	:	EMS COORDINATOR
Name	:	MR. TERRY REEVERTS
Credential	:
Telephone Number	:	815-234-4911

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	08/22/2020

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Directions to “BYRON FIRE PROTECTION DISTRICT ” Practice Location

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