Provider Demographics
NPI:1093850489
Name:MT MORRIS FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:MT MORRIS FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:ROB
Authorized Official - Middle Name:G
Authorized Official - Last Name:HOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-734-4322
Mailing Address - Street 1:PO BOX 6253
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60197-6253
Mailing Address - Country:US
Mailing Address - Phone:630-530-2988
Mailing Address - Fax:630-832-9750
Practice Address - Street 1:15 E CENTER ST
Practice Address - Street 2:
Practice Address - City:MT MORRIS
Practice Address - State:IL
Practice Address - Zip Code:61054-1460
Practice Address - Country:US
Practice Address - Phone:815-734-4322
Practice Address - Fax:815-734-7837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL11360341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL249540Medicare ID - Type UnspecifiedMEDICARE