Organization Name: | VILLAGE OF BROADVIEW |
NPI Number: | 1730100942 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS GAERTNER (INTERIM FIRE CHIEF) |
Mailing Address: | 2350 S 25th Ave Broadview |
State: | IL US |
Postal Code: | 601553827 |
Phone Number: | 7083436124 |
Fax Number: | 7082048918 |
NPI Enumeration Date: | 07/22/2006 |
NPI Last Update Date: | 01/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 88055 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |