Bigfork Fire District
Organization Active NPI Land Ambulance · Bigfork, MT
NPI 1134433626 · NPPES record last updated Jan 5, 2011
Key facts
- NPI
- 1134433626
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 512 (MT)
- Legal business name
- BIGFORK FIRE DISTRICT
- Practice address
- 810 Grand Dr
Bigfork, MT 59911-3531 - Phone
- (406) 837-4590
- Fax
- (406) 837-4690
- NPI assigned
- Jul 27, 2010
- Organization subpart
- No
Authorized official
- Name
- Mrs. Cindy M Norred
- Title
- Billing Assistant
- Phone
- (406) 837-4590
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050406001061 | MT | Part B Supplier - Ambulance Service Supplier | 8224085725 | Practice locations: Bigfork, MT |
National Provider Directory
- Tax ID family
- Big Fork Fire and Ambulance
Locations
1008 Burlington Ave
Missoula, MT 59801
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 512 | MT | Yes |
Addresses
Primary practice location
810 Grand Dr
Bigfork, MT 59911-3531
Mailing address
810 Grand Dr
Bigfork, MT 59911-3531
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M011000321 | Other | MT | MEDICARE |
| 1134433626 | Medicaid | MT |
Other providers in Bigfork, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.