Provider Demographics
NPI:1669558706
Name:RUTLAND DUNDEE FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:RUTLAND DUNDEE FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:RADY
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:847-429-0571
Mailing Address - Street 1:PO BOX 203
Mailing Address - Street 2:
Mailing Address - City:GILBERTS
Mailing Address - State:IL
Mailing Address - Zip Code:60136-0203
Mailing Address - Country:US
Mailing Address - Phone:847-426-2522
Mailing Address - Fax:
Practice Address - Street 1:11 E HIGGINS RD
Practice Address - Street 2:
Practice Address - City:GILBERTS
Practice Address - State:IL
Practice Address - Zip Code:60136-0203
Practice Address - Country:US
Practice Address - Phone:847-426-2522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL208425Medicare ID - Type Unspecified