Stockton Fire Protection Dist

NPI #1629014774 in Stockton, Illinois

Provider Information

NPI Number: 1629014774
Entity Type: Organization
Organization Name: Stockton Fire Protection Dist
Primary Specialty: Emergency Medical Technician, Basic
Enumeration Date: Jun 20, 2006
Last Updated: May 11, 2011

Practice Location

Address: 113 E QUEEN ST
City: Stockton
State: Illinois
ZIP Code: 61085-1327
Phone: (815) 947-3500

Authorized Official

Name: MRS. DEBRA J HEIDENREICH, PHRN
Title: PRESIDENT
Phone: (815) 947-3023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medical Technician, Basic	146N00000X	Primary
Emergency Medical Technician, Intermediate	146M00000X
Ambulance - Land Transport — Land Transport	3416L0300X

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