Fisher River Valley Fire Service Area
Organization Active NPI Land Ambulance · Libby, MT
NPI 1841996279 · NPPES record last updated Feb 8, 2023
Key facts
- NPI
- 1841996279
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- FISHER RIVER VALLEY FIRE SERVICE AREA
- Practice address
- 70 W Camp Road
Libby, MT 59923 - Phone
- (406) 293-3907
- Fax
- (406) 293-3910
- NPI assigned
- Feb 7, 2023
- Organization subpart
- No
Authorized official
- Name
- Jerry L. Auger
- Title
- Fsa Secretary and Treasurer
- Phone
- (406) 253-4895
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260217003940 | MT | Part B Supplier - Ambulance Service Supplier | 0244772432 | Practice locations: Libby, MT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
70 W Camp Road
Libby, MT 59923
Mailing address
70 W Camp Road
Libby, MT 59923
Phone (406) 293-7862
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000185861 | Medicaid | MT |
Other names
- Fisher River Volunteer Fire Company
Other providers in Libby, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2023. 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.