Healthcare Provider Details

I. General information

NPI: 1144687138
Provider Name (Legal Business Name): MARION FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2016
Last Update Date: 01/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 GOPHER LN
MARION MT
59925
US

IV. Provider business mailing address

PO BOX 939
MARION MT
59925-0939
US

V. Phone/Fax

Practice location:
  • Phone: 406-854-2828
  • Fax: 406-854-9330
Mailing address:
  • Phone: 406-854-2828
  • Fax: 406-854-9330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number505
License Number StateMT

VIII. Authorized Official

Name: KATIE MAST
Title or Position: FIRE CHIEF
Credential:
Phone: 406-283-1011