Healthcare Provider Details

I. General information

NPI: 1124570403
Provider Name (Legal Business Name): CENTRAL VALLEY FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2016
Last Update Date: 01/05/2021
Certification Date: 01/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 WINGS WAY
BELGRADE MT
59714-3556
US

IV. Provider business mailing address

PO BOX 2458
EUREKA MT
59917-2458
US

V. Phone/Fax

Practice location:
  • Phone: 406-388-4480
  • Fax: 406-388-6270
Mailing address:
  • Phone: 406-297-1627
  • Fax: 855-574-5392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number403
License Number StateMT

VIII. Authorized Official

Name: MR. RONALD LINDROTH
Title or Position: FIRE CHIEF
Credential: MS, EFO
Phone: 406-388-4480