Montello Joint Fire District

Primary specialty

Personal Emergency Response AttendantTaxonomy code 146D00000X

Legal business name

MONTELLO JOINT FIRE DISTRICT

Practice address

20 Underwood Ave
Montello, WI 53949-9259

Phone

(815) 541-1477

NPI assigned

Mar 27, 2017

Organization subpart

No

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

Authorized official

Name

Maxine Bussan

Title

Fiscal Agent

Phone

(815) 541-1477

Specialties & licenses 2

Addresses

Other names 1

• Montello Fire Department Other name

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1679004030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 UNDERWOOD AVE",
            "address_2": "PO BOX 175",
            "city": "MONTELLO",
            "state": "WI",
            "postal_code": "539499259",
            "telephone_number": "815-541-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 UNDERWOOD AVE",
            "city": "MONTELLO",
            "state": "WI",
            "postal_code": "539499259",
            "telephone_number": "815-541-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTELLO JOINT FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "BUSSAN",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_title_or_position": "FISCAL AGENT",
        "authorized_official_telephone_number": "815-541-1477"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montello Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marquette County Department of Human Services-Clinical Services
• Marquette County DHS
• Marquette County DHS
• Sara M. McNamara, O.T.R.
• Mikayla Mlsna
• Montello School District
• Irene E Quandt, DC
• River Run Pharmacies, Inc
• River Run Pharmacies, Inc
• Annette Schlagenhaft

• Personal Emergency Response Attendant in Montello, WI
• Providers in Montello, WI by specialty
• Personal Emergency Response Attendant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.