Basic Information
| Provider Information | |||||||||
| NPI: | 1336689926 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | AROMA FIRE PROTECTION DISTRICT | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1053 | ||||||||
| Address2: | |||||||||
| City: | MOKENA | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604482052 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7084785694 | ||||||||
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| Practice Location | |||||||||
| Address1: | 307 S BRIDGE ST | ||||||||
| Address2: | |||||||||
| City: | AROMA PARK | ||||||||
| State: | IL | ||||||||
| PostalCode: | 609101042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8159333320 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/01/2017 | ||||||||
| LastUpdateDate: | 12/18/2019 | ||||||||
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| AuthorizedOfficialLastName: | SHEPHERD | ||||||||
| AuthorizedOfficialFirstName: | LUKE | ||||||||
| AuthorizedOfficialMiddleName: | E | ||||||||
| AuthorizedOfficialTitleorPosition: | FIRE CHIEF | ||||||||
| AuthorizedOfficialTelephone: | 8159536751 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 12/18/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 341600000X | 077248 | IL | Y | Transportation Services | Ambulance |
No ID Information.