Organization Name: | CITY OF ROCHELLE |
NPI Number: | 1396873238 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOELLEN FISHER (BILLING AGENT) |
Mailing Address: | 401 5th Ave Rochelle |
State: | IL US |
Postal Code: | 61068 |
Phone Number: | 8155612071 |
Fax Number: | 8155623913 |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 04/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 07/17/2007 |
NPI Reactivation Date: | 07/24/2007 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 1770244 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |