Provider Demographics
NPI:1861110389
Name:ALTONA FIRE DISTRICT, INC.
Entity type:Organization
Organization Name:ALTONA FIRE DISTRICT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN OF THE ALTONA FIRE DISTRIC
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BLONDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-236-5824
Mailing Address - Street 1:P.O. BOX 184
Mailing Address - Street 2:
Mailing Address - City:ALTONA
Mailing Address - State:NY
Mailing Address - Zip Code:12910
Mailing Address - Country:US
Mailing Address - Phone:518-236-9333
Mailing Address - Fax:518-236-7025
Practice Address - Street 1:480 DEVILS DEN ROAD
Practice Address - Street 2:
Practice Address - City:ALTONA
Practice Address - State:NY
Practice Address - Zip Code:12910
Practice Address - Country:US
Practice Address - Phone:518-236-9333
Practice Address - Fax:518-236-7025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty
No146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, IntermediateGroup - Multi-Specialty