Healthcare Provider Details

I. General information

NPI: 1073724738
Provider Name (Legal Business Name): MONTGOMERY VOLUNTEER FIRE CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 MONTGOMERY ST.
MONTGOMERY PA
17752
US

IV. Provider business mailing address

PO BOX 76
MONTGOMERY PA
17752-0076
US

V. Phone/Fax

Practice location:
  • Phone: 570-547-1380
  • Fax: 570-547-1381
Mailing address:
  • Phone: 570-547-1380
  • Fax: 570-547-1677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number41007
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number4100701
License Number StatePA

VIII. Authorized Official

Name: STEVEN COOK
Title or Position: PRESIDENT
Credential:
Phone: 570-492-8157