NPI 1679004030

Montello Joint Fire District

Organisation Personal Emergency Response Attendant Montello, WI

Practice location

Address: 20 Underwood Ave, Montello, WI 53949-9259
Phone: (815) 541-1477
Mailing address: 20 Underwood Ave PO Box 175, Montello, WI 53949-9259

Authorised official

Name: Maxine Bussan
Title: Fiscal Agent
Phone: (815) 541-1477

Registered specialties (2)

Personal Emergency Response Attendant Primary

Emergency Medical Service Providers Taxonomy 146D00000X

Other Personal Emergency Response Attendant providers in Wisconsin →

Basic Emergency Medical Technician

Emergency Medical Service Providers Taxonomy 146N00000X

Other Emergency Medical Technician, Basic providers in Wisconsin →

Registry record

NPI: 1679004030
Entity type: Organization
NPI issued: 27 Mar 2017
Record last updated: 27 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.