# GRASSHOPPER VALLEY VOLUNTEER FIRE COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grasshopper Valley Volunteer Fire Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720389166
- **Authorized official:** MRS. SHELLY BOYD (CHIEF)
- **Authorized official phone:** (406) 834-3497

## Contact information

- **Practice address:** 9753 PIONEER MOUNTAINS SCENIC BYWAY, POLARIS, MT 59746-0484
- **Practice address phone:** (406) 834-3412
- **Mailing address:** PO BOX 460484, POLARIS, MT 59746-0484
- **Mailing address phone:** (406) 834-3412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 207PE0004X | MT | Yes |

## Other

- **Enumeration date:** 11/16/2010
- **Last updated:** 11/23/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | M011001107 | MEDICARE PTAN | MT |