Provider Demographics
NPI:1881717247
Name:MILFORD FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:MILFORD FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIPPERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-889-4745
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:IL
Mailing Address - Zip Code:60953-0066
Mailing Address - Country:US
Mailing Address - Phone:815-889-4745
Mailing Address - Fax:
Practice Address - Street 1:301 S CHICAGO ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:IL
Practice Address - Zip Code:60953-1235
Practice Address - Country:US
Practice Address - Phone:815-889-4745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2008-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL674402341600000X
IL674401341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
IL684320Medicare ID - Type Unspecified