Provider Demographics
NPI:1306468871
Name:GERMANTOWN FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:GERMANTOWN FIRE PROTECTION DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JAI
Authorized Official - Middle Name:W
Authorized Official - Last Name:WINDISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-383-4890
Mailing Address - Street 1:313 PRAIRIE AVE
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:61548-9290
Mailing Address - Country:US
Mailing Address - Phone:309-369-1861
Mailing Address - Fax:
Practice Address - Street 1:313 PRAIRIE AVE
Practice Address - Street 2:
Practice Address - City:GERMANTOWN HILLS
Practice Address - State:IL
Practice Address - Zip Code:61548-9290
Practice Address - Country:US
Practice Address - Phone:309-369-1861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-07
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport