Grasshopper Valley Volunteer Fire Dept

Organization Emergency Medical Services (Emergency Medicine) Physician · NPI 1003099318

Grasshopper Valley Volunteer Fire Dept is an Emergency Medical Services (Emergency Medicine) Physician in Polaris, Montana. Licensed in Montana. Registered with an NPI since 2007.

Licensed in: MT
In the registry since: 2007

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Practice location Address checks out

9753 Pioneer Mountains Scenic Byway
Polaris, MT 59746-0484
Phone: (406) 834-3541
Fax: (406) 834-3497

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary)	Taxonomy 207PE0004X · Licence 167 (MT)

Record details

NPI number	1003099318
Entity type	Organization (Type 2)
Organization subpart	Yes
Parent organization	Grasshopper Valley Volunteer Fire Department
Authorized official	Archie Matthews — Captain · (406) 834-3541
NPI enumerated	December 10, 2007
Last updated in NPPES	December 10, 2007
Mailing address	Po Box 460484, Polaris, MT 59746-0484