| Organization Name: | BOURBONNAIS FIRE DISTRICT |
| NPI Number: | 1013955426 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ED ST LOUIS (CHIEF) |
| Mailing Address: | 1080 Armour Rd Bourbonnais |
| State: | IL US |
| Postal Code: | 609142102 |
| Phone Number: | 8159359670 |
| Fax Number: | 8159359675 |
| NPI Enumeration Date: | 06/04/2006 |
| NPI Last Update Date: | 05/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 77816 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |