Provider Demographics
NPI:1407205685
Name:CORTLAND COMMUNITY FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:CORTLAND COMMUNITY FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:TRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSER
Authorized Official - Suffix:
Authorized Official - Credentials:FF/PM
Authorized Official - Phone:815-756-2545
Mailing Address - Street 1:30 W NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60112-4051
Mailing Address - Country:US
Mailing Address - Phone:815-756-2545
Mailing Address - Fax:
Practice Address - Street 1:30 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:IL
Practice Address - Zip Code:60112-4051
Practice Address - Country:US
Practice Address - Phone:815-756-2545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL01 14293416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport