NPIMap

Organization Active NPI

Grasshopper Valley Volunteer Fire Company

Doing business as Grasshopper Valley Volunteer Fire Department

  • Ambulance
  • Polaris, MT
National Provider Identifier
1720389166
Registry record updated Nov 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
207PE0004X Issued in MT
Legal business name
GRASSHOPPER VALLEY VOLUNTEER FIRE COMPANY
Doing business as
Grasshopper Valley Volunteer Fire Department
Practice address
9753 Pioneer Mountains Scenic Byway
Polaris, MT 59746-0484
Phone
(406) 834-3412
NPI assigned
Nov 16, 2010
Last updated
Nov 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2014

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

Authorized official

Name
Mrs. Shelly Boyd
Title
Chief
Phone
(406) 834-3497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 207PE0004X 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) 834-3412

Other identifiers 1

IdentifierTypeStateIssuer
M011001107OtherMTMEDICARE PTAN

Other names 1

  • Grasshopper Valley Volunteer Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419001161 MT Part B Supplier - Ambulance Service Supplier 5991790818 Practice locations: Polaris, MT

National Provider Directory

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

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": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416700800000",
    "number": "1720389166",
    "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": "406-834-3412"
        },
        {
            "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": "406-834-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASSHOPPER VALLEY VOLUNTEER FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2014-11-23",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "406-834-3497",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MT",
            "license": "207PE0004X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M011001107",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grasshopper Valley Volunteer Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.