Organization
GRASSHOPPER VALLEY VOLUNTEER FIRE COMPANY
Active
Other names
Grasshopper Valley Volunteer Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY BOYD (CHIEF)
(406) 834-3497
Entity
Organization
Contact information
Practice address
9753 PIONEER MOUNTAINS SCENIC BYWAY, POLARIS, MT 59746-0484
(406) 834-3412
Mailing address
PO BOX 460484, POLARIS, MT 59746-0484
(406) 834-3412
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
207PE0004X
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M011001107
MEDICARE PTAN
MT
Enumeration date
11/16/2010
Last updated
11/23/2014
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