Healthcare Provider Details

I. General information

NPI: 1376583914
Provider Name (Legal Business Name): BIG SANDY VOLUNTEER FIRE DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 01/13/2023
Certification Date: 01/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 JUDITH LANDING ROAD
BIG SANDY MT
59520-0157
US

IV. Provider business mailing address

PO BOX 157
BIG SANDY MT
59520-0157
US

V. Phone/Fax

Practice location:
  • Phone: 406-378-2188
  • Fax: 406-378-2180
Mailing address:
  • Phone: 406-378-2188
  • Fax: 406-378-2180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PETE JERREL
Title or Position: BOARD MEMBER
Credential:
Phone: 406-868-9932