| NPI | 1073724738 |
|---|---|
| Former Legal Business Name | MONTGOMERY VOL FIRE CO |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRIAN MAGYAR Ambulance Captain 570-547-6731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: PA 41007) |
| Additional Taxonomies | 341600000X Ambulance (Licence: PA 4100701) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2012-09-26 |