MONTELLO JOINT FIRE DISTRICT (NPI# 1679004030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679004030 |
| Entity Type | Organization |
| Organization Name | MONTELLO JOINT FIRE DISTRICT |
| Other Organization Name | MONTELLO FIRE DEPARTMENT |
| Practice Address |
20 Underwood Ave Montello WI 53949-9259 |
| Mailing Address |
20 Underwood Ave Po Box 175 Montello WI 53949-9259 |
| Practice Telephone | 8155411477 |
| Mailing Telephone | 8155411477 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |
| Authorized Official Name | MAXINE BUSSAN (FISCAL AGENT) |
| Authorized Official Telephone | 8155411477 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146N00000X | Emergency Medical Technician, Basic | Emergency Medical Service Providers | ||
| Y | 146D00000X | Personal Emergency Response Attendant | Emergency Medical Service Providers |
| Other Name | Type Code |
|---|---|
| Montello Fire Department | Other Name - Individual/Organization |
| Street Address |
20 UNDERWOOD AVE |
| City | MONTELLO |
| State | WI |
| Zip Code | 53949-9259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013182757 | Marquette County Dhs | Nursing Care | 428 Underwood Ave, Montello, WI 53949 | 2008-04-24 |
| 1588782676 | Jody Ann Triggs | Occupational Therapist | 251 Forest Lane, Montello Care Center, Montello, WI 53949 | 2007-03-27 |
| 1396966560 | Shannon Stacey Harmon | Physical Therapy Assistant | 251 Forest Lane, Montello, WI 53949 | 2007-05-02 |
| 1093734162 | County of Marquette | Public Health or Welfare | 480 Underwood Avenue, Montello, WI 53949-0181 | 2006-07-19 |
| 1306841317 | County of Marquette | Ambulance | 480 Underwood Ave, Montello, WI 53949-0181 | 2005-06-16 |
| 1326180738 | Irene E Quandt | Chiropractor | 65 W Park Street, Montello, WI 53949-0277 | 2007-02-13 |
| 1093889396 | Bentley Pharmacies Inc | Pharmacy | 25 W Montello St, Montello, WI 53949-0366 | 2006-11-20 |
| 1669706321 | Susan Maxeen Hunter | Marriage & Family Therapist | W4276 Gale Ave, Montello, WI 53949-7718 | 2009-09-29 |
| 1396222345 | Cynthia Joan Jurishica | Social Worker | W5750 Fish Ct, Montello, WI 53949-7862 | 2018-07-23 |
| 1508919390 | Julie Jean Hecker | Licensed Practical Nurse | W814 Arrowhead Road, Montello, WI 53949-7943 | 2007-01-18 |
| Find all providers in zip 53949 | ||||
| Taxonomy Code | 146D00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Personal Emergency Response Attendant |
| Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629526371 | Isaac Schauf | Personal Emergency Response Attendant | 13594 State Highway 27, Sparta, WI 54656-4770 | 2016-09-12 |
| 1891070785 | Ethan Dolf Pfefferkorn | Personal Emergency Response Attendant | 15018 Lakeview Ln, Three Lakes, WI 54562-9518 | 2011-10-11 |
| 1912950577 | Peter James Boardman | Personal Emergency Response Attendant | 707 Ash St, Spooner, WI 54801-1234 | 2006-05-17 |
| 1639170301 | David Eugene Coleman | Personal Emergency Response Attendant | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2005-08-03 |
| 1851709554 | Kevin Sponseller | Personal Emergency Response Attendant | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2014-07-25 |
| 1780091850 | Aurora Medical Group | Personal Emergency Response Attendant | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2014-07-21 |
| 1174666325 | Swiftcare | Personal Emergency Response Attendant | 2405 Northwestern Ave, Racine, WI 53404-2503 | 2007-02-15 |
| 1770594475 | Jill Tracey Schenk | Personal Emergency Response Attendant | 1615 Maple Ln Ste 1, Essentia Health Ashland Clinic, Ashland, WI 54806-3610 | 2006-08-10 |
| 1316973480 | Freeman Mark Moore | Personal Emergency Response Attendant | 225 Memorial Dr, Berlin, WI 54923-1243 | 2006-06-23 |
| 1376599357 | Kristine H. Saudek | Personal Emergency Response Attendant | 9000 W Wisconsin Ave, Division of Neonatology, Milwaukee, WI 53226-4874 | 2006-05-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.