1033247663 NPI number — FRENCHTOWN RURAL FIRE DISTRICT

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033247663 NPI number — FRENCHTOWN RURAL FIRE DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRENCHTOWN RURAL FIRE DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033247663
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 119
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRENCHTOWN
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59834-0000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-626-5791
Provider Business Mailing Address Fax Number:
406-626-6355

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16875 MARION STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRENCHTOWN
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59834-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-626-5791
Provider Business Practice Location Address Fax Number:
406-626-6355
Provider Enumeration Date:
03/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HATFIELD
Authorized Official First Name:
KYLEE
Authorized Official Middle Name:
A
Authorized Official Title or Position:
ADMINISTRATIVE ASSISTANT
Authorized Official Telephone Number:
406-626-5791

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  49 , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0000443534 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".




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