Active NPI
Superior Volunteer Fire Company Inc
Doing business as Superior Area Ambulance Service
- Ambulance
- Superior, MT
National Provider Identifier
1235178906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 92
- Legal business name
- SUPERIOR VOLUNTEER FIRE COMPANY INC
- Doing business as
- Superior Area Ambulance Service
- Practice address
- 1202 5TH Ave E
Superior, MT 59872-1014 - Phone
- (406) 822-3001
- NPI assigned
- Jun 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Alan Metzger
- Title
- Chairman
- Phone
- (406) 822-3001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 92 | MT | Primary |
Addresses
Primary practice location
1202 5TH Ave E
Superior, MT 59872-1014
Mailing address
1940 S Bonito Way Ste 190
Meridian, ID 83642-5618
Phone (208) 287-9420
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806874000 | Medicaid | ID | |
| 9047754 | Medicaid | WA | |
| 000001372 | Other | MT | BC/BS |
| 155606200 | Other | MT | OWCP |
| 0440687 | Medicaid | MT |
Other names 1
- Superior Area Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040121000889 | MT | Part B Supplier - Ambulance Service Supplier | 4587566518 | Practice locations: Superior, MT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D2103985 | Superior Area Ambulance | Certificate of waiver | Oct 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
1202 5th Ave E
Superior, MT 59872
Phone (406) 822-3570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787011200000",
"number": "1235178906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 S BONITO WAY STE 190",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425618",
"telephone_number": "208-287-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 5TH AVE E",
"city": "SUPERIOR",
"state": "MT",
"postal_code": "598721014",
"telephone_number": "406-822-3001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR VOLUNTEER FIRE COMPANY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-06",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A",
"authorized_official_last_name": "METZGER",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "406-822-3001"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MT",
"license": "92",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806874000",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9047754",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000001372",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "155606200",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0440687",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Superior Area Ambulance Service",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Superior Area Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Superior, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.