Healthcare Provider Details

I. General information

NPI: 1972625275
Provider Name (Legal Business Name): BIG SKY FIRE DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 RAINBOW TROUT RUN (STATION 1)
BIG SKY MT
59716
US

IV. Provider business mailing address

PO BOX 160382 650 RAINBOW TROUT RUN
BIG SKY MT
59716-0382
US

V. Phone/Fax

Practice location:
  • Phone: 406-995-2100
  • Fax: 406-995-2104
Mailing address:
  • Phone: 406-995-2100
  • Fax: 406-995-2104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: ALECIA FISCHER
Title or Position: ADMINISTRATIVE OFFICER
Credential:
Phone: 406-995-2100