NPIMap

Organization Active NPI

Grasshopper Valley Volunteer Fire Dept

  • Emergency Medical Services (Emergency Medicine) Physician
  • Polaris, MT
National Provider Identifier
1003099318
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
167 Issued in MT
Legal business name
GRASSHOPPER VALLEY VOLUNTEER FIRE DEPT
Practice address
9753 Pioneer Mountains Scenic Byway
Polaris, MT 59746-0484
Phone
(406) 834-3541
Fax
(406) 834-3497
NPI assigned
Dec 10, 2007
Last updated
Dec 10, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
GRASSHOPPER VALLEY VOLUNTEER FIRE DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Archie H Matthews, EMTB
Title
Captain
Phone
(406) 834-3541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 167 MT Primary

Addresses

Primary practice location

9753 Pioneer Mountains Scenic Byway
Polaris, MT 59746-0484

Mailing address

PO Box 460484
Polaris, MT 59746-0484
Phone (406) 834-3541

National Provider Directory

National Provider Directory
Tax ID family
Grasshopper Valley Vol Fire2 organizations share this tax ID, including this one
Part of
Grasshopper Valley Vol Fire

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1003099318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460484",
            "city": "POLARIS",
            "state": "MT",
            "postal_code": "597460484",
            "telephone_number": "406-834-3541",
            "fax_number": "406-834-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9753 PIONEER MOUNTAINS SCENIC BYWAY",
            "city": "POLARIS",
            "state": "MT",
            "postal_code": "597460484",
            "telephone_number": "406-834-3541",
            "fax_number": "406-834-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASSHOPPER VALLEY VOLUNTEER FIRE DEPT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRASSHOPPER VALLEY VOLUNTEER FIRE DEPARTMENT",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "ARCHIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "406-834-3541",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMTB"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MT",
            "license": "167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Polaris, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.