STOCKTON FIRE PROTECTION DIST NPI 1629014774

NPI Information

STOCKTON FIRE PROTECTION DIST is an emergency medical technician intermediate in Stockton, IL. The provider is an Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. STOCKTON FIRE PROTECTION DIST NPI is 1629014774. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Stockton Community Ambulance.

The provider's business location address is:

113 E QUEEN ST
STOCKTON, IL
ZIP 61085-327
Phone: (815) 947-3500
Fax: (815) 947-9102

The provider's authorized official is Debra J Heidenreich .
The authorized official title is President and has the following contact phone number (815) 947-3023.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 5/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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