Provider Demographics
NPI:1710905724
Name:MOUNT CARROLL FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:MOUNT CARROLL FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TURNBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-244-9425
Mailing Address - Street 1:311 E SILK ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT CARROLL
Mailing Address - State:IL
Mailing Address - Zip Code:61053-1419
Mailing Address - Country:US
Mailing Address - Phone:815-244-9425
Mailing Address - Fax:
Practice Address - Street 1:206 E SEMINARY ST
Practice Address - Street 2:
Practice Address - City:MOUNT CARROLL
Practice Address - State:IL
Practice Address - Zip Code:61053-1362
Practice Address - Country:US
Practice Address - Phone:815-244-9425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0870001OtherBC
IL=========001Medicaid
IL0870001OtherBC