Organization Active NPI

Superior Volunteer Fire Company Inc

Doing business as Superior Area Ambulance Service

  • Ambulance
  • Superior, MT
National Provider Identifier
1235178906
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
92 Issued in MT
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

Updated by the provider on Aug 18, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
806874000MedicaidID
9047754MedicaidWA
000001372OtherMTBC/BS
155606200OtherMTOWCP
0440687MedicaidMT

Other names 1

  • Superior Area Ambulance Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040121000889 MT Part B Supplier - Ambulance Service Supplier 4587566518 Practice locations: Superior, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2103985Superior Area Ambulance1202 5TH Ave East, Superior, MT 59872Certificate of waiverOct 25, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.