Provider Demographics
NPI:1215109699
Name:MERTON VOLUNTEER FIRE DEPT
Entity type:Organization
Organization Name:MERTON VOLUNTEER FIRE DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:R
Authorized Official - Last Name:SEIDL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-691-2231
Mailing Address - Street 1:PO BOX 911
Mailing Address - Street 2:
Mailing Address - City:MERTON
Mailing Address - State:WI
Mailing Address - Zip Code:53056-0911
Mailing Address - Country:US
Mailing Address - Phone:262-691-2231
Mailing Address - Fax:262-691-2275
Practice Address - Street 1:N67W28343 SUSSEX RD
Practice Address - Street 2:
Practice Address - City:MERTON
Practice Address - State:WI
Practice Address - Zip Code:53056
Practice Address - Country:US
Practice Address - Phone:262-691-2231
Practice Address - Fax:262-691-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport