Basic Information
| Provider Information | |||||||||
| NPI: | 1093850489 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MT MORRIS FIRE PROTECTION DISTRICT | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 6253 | ||||||||
| Address2: | |||||||||
| City: | CAROL STREAM | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601976253 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6305302988 | ||||||||
| FaxNumber: | 6308329750 | ||||||||
| Practice Location | |||||||||
| Address1: | 15 E CENTER ST | ||||||||
| Address2: | |||||||||
| City: | MT MORRIS | ||||||||
| State: | IL | ||||||||
| PostalCode: | 610541460 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8157344322 | ||||||||
| FaxNumber: | 8157347837 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/21/2007 | ||||||||
| LastUpdateDate: | 02/08/2016 | ||||||||
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| AuthorizedOfficialLastName: | HOUGH | ||||||||
| AuthorizedOfficialFirstName: | ROB | ||||||||
| AuthorizedOfficialMiddleName: | G | ||||||||
| AuthorizedOfficialTitleorPosition: | FIRE CHIEF | ||||||||
| AuthorizedOfficialTelephone: | 8157344322 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 341600000X | 11360 | IL | Y | Transportation Services | Ambulance |
No ID Information.