Healthcare Provider Details

I. General information

NPI: 1366064057
Provider Name (Legal Business Name): MORRIS FIRE PROTECTION & AMBULANCE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2020
Last Update Date: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 ASHTON RD
MORRIS IL
60450-8615
US

IV. Provider business mailing address

2301 ASHTON RD
MORRIS IL
60450-8615
US

V. Phone/Fax

Practice location:
  • Phone: 815-955-7561
  • Fax:
Mailing address:
  • Phone: 815-955-7561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MR. TRACEY JAMES STEFFES
Title or Position: FIRE CHIEF
Credential:
Phone: 815-942-2830