| Organization Name: | CITY OF EAST PEORIA |
| NPI Number: | 1285653485 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL VAUGHN (FIRE CHIEF) |
| Mailing Address: | 201 W Washington St East Peoria |
| State: | IL US |
| Postal Code: | 616112416 |
| Phone Number: | 3096984740 |
| Fax Number: | 3096984725 |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 2968 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |