Morris Fire Protection & Ambulance District

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

Legal business name

MORRIS FIRE PROTECTION & AMBULANCE DISTRICT

Practice address

2301 Ashton Rd
Morris, IL 60450-8615

Phone

(815) 955-7561

NPI assigned

May 15, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Tracey James Steffes

Title

Fire Chief

Phone

(815) 942-2830

Specialties & licenses 2

Addresses

Other names 1

• Morris Fire & Ambulance Protection District Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1366064057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 ASHTON RD",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604508615",
            "telephone_number": "815-955-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ASHTON RD",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604508615",
            "telephone_number": "815-955-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS FIRE PROTECTION & AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "STEFFES",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-942-2830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morris Fire & Ambulance Protection District",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hatimali Imtiaz Husain Mithaiwala, DDS
• Reena Raman Modjeski, DMD
• Morris Audiology Inc.
• Morris Comm HS Dist 101
• Morris Eyecare Associates Inc
• Morris Healthcare & Rehabilitation Center LLC
• Morris Hospital
• Morris Hospital
• Morris Hospital
• Morris Hospital

• All providers in Morris, IL
• Emergency Medical Services (Emergency Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.