# LITTLE MACKINAW FIRE DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MINIER AMBULANCE SERVICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770629073
- **Authorized official:** JACLYN MORTIMER (CHIEF)
- **Authorized official phone:** (309) 678-5035

## Contact information

- **Practice address:** 107 E. CENTRAL, BOX 680, MINIER, IL 61759-0680
- **Practice address phone:** (309) 392-2112
- **Practice address fax:** (309) 392-2112
- **Mailing address:** PO BOX 680, 107 E CENTRAL, MINIER, IL 61759-0680
- **Mailing address phone:** (309) 392-2112
- **Mailing address fax:** (309) 392-2112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 11/03/2021