Provider Demographics
NPI:1245615277
Name:OREGON FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:OREGON FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARAMEDIC
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:TODD
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:815-823-3488
Mailing Address - Street 1:100 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:IL
Mailing Address - Zip Code:61061
Mailing Address - Country:US
Mailing Address - Phone:815-732-7214
Mailing Address - Fax:815-732-2835
Practice Address - Street 1:100 WEST WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:IL
Practice Address - Zip Code:61061
Practice Address - Country:US
Practice Address - Phone:815-732-7214
Practice Address - Fax:815-732-2835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-20
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1080341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance