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Organization

MONTELLO JOINT FIRE DISTRICT

Active
Other names
Montello Fire Department
Organization subpart
No

Provider details

NPI number
Authorized official
MAXINE BUSSAN (FISCAL AGENT)
(815) 541-1477
Entity
Organization

Contact information

Practice address
20 UNDERWOOD AVE, MONTELLO, WI 53949-9259
(815) 541-1477
Mailing address
20 UNDERWOOD AVE, PO BOX 175, MONTELLO, WI 53949-9259
(815) 541-1477

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
146N00000X
Basic Emergency Medical Technician

Other

Enumeration date
03/27/2017
Last updated
03/27/2017
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