NPI 1003099318 · live from the CMS NPI Registry
Grasshopper Valley Volunteer Fire Dept
Emergency Medicine, Emergency Medical Services in Polaris, MT. National Provider Identifier 1003099318, active.
NPI record
| NPI | 1003099318 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine, Emergency Medical Services 207PE0004X |
| Practice location | 9753 Pioneer Mountains Scenic Byway, Polaris, MT 59746 |
| Practice phone | 406-834-3541 |
| Mailing address | Po Box 460484, Polaris, MT 59746 |
| Enumerated | December 10, 2007 |
| Last updated | December 10, 2007 |
| Authorized official | Archie Matthews, Captain |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine, Emergency Medical Services primary | 207PE0004X | 167 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.