NPI 1003099318

Grasshopper Valley Volunteer Fire Dept

Organisation Emergency Medical Services (Emergency Medicine) Physician Polaris, MT

Practice location

Address: 9753 Pioneer Mountains Scenic Byway, Polaris, MT 59746-0484
Phone: (406) 834-3541
Fax: (406) 834-3497
Mailing address: PO Box 460484, Polaris, MT 59746-0484

Authorised official

Name: Archie H Matthews
Title: Captain
Phone: (406) 834-3541

Registered specialties

Emergency Medical Services (Emergency Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207PE0004X Licence 167 (MT)

Other Emergency Medicine providers in Montana →

Registry record

NPI: 1003099318
Entity type: Organization
NPI issued: 10 Dec 2007
Record last updated: 10 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.