# GRASSHOPPER VALLEY VOLUNTEER FIRE DEPT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GRASSHOPPER VALLEY VOLUNTEER FIRE DEPARTMENT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003099318
- **Legal business name:** GRASSHOPPER VALLEY VOLUNTEER FIRE DEPARTMENT
- **Authorized official:** MR. ARCHIE H MATTHEWS EMTB (CAPTAIN)
- **Authorized official phone:** (406) 834-3541

## Contact information

- **Practice address:** 9753 PIONEER MOUNTAINS SCENIC BYWAY, POLARIS, MT 59746-0484
- **Practice address phone:** (406) 834-3541
- **Practice address fax:** (406) 834-3497
- **Mailing address:** PO BOX 460484, POLARIS, MT 59746-0484
- **Mailing address phone:** (406) 834-3541
- **Mailing address fax:** (406) 834-3497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 167 | MT | Yes |

## Other

- **Enumeration date:** 12/10/2007
- **Last updated:** 12/10/2007
