| NPI | 1679004030 |
|---|---|
| Other Name | MONTELLO FIRE DEPARTMENT |
| Entity Type | Organization |
| Authorized Contact | MAXINE BUSSAN Fiscal Agent 815-541-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146D00000X Personal Emergency Response Attendant |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |