Organization
STOCKTON FIRE PROTECTION DIST
Active
Other names
Stockton Community Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA J HEIDENREICH PHRN (PRESIDENT)
(815) 947-3023
Entity
Organization
Contact information
Practice address
113 E QUEEN ST, STOCKTON, IL 61085-1327
(815) 947-3500
(815) 947-9102
Mailing address
113 E QUEEN ST, STOCKTON, IL 61085-1327
(815) 947-3500
(815) 947-9102
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
100802
IL
146M00000X
Intermediate Emergency Medical Technician
Primary
100803
IL
146N00000X
Basic Emergency Medical Technician
100802
IL
146N00000X
Basic Emergency Medical Technician
100803
IL
3416L0300X
Land Ambulance
100802
IL
3416L0300X
Land Ambulance
100803
IL
Other
Enumeration date
06/20/2006
Last updated
05/11/2011
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