Healthcare Provider Details

I. General information

NPI: 1235178906
Provider Name (Legal Business Name): SUPERIOR VOLUNTEER FIRE COMPANY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 5TH AVE E
SUPERIOR MT
59872-1014
US

IV. Provider business mailing address

1940 S BONITO WAY STE 190
MERIDIAN ID
83642-5618
US

V. Phone/Fax

Practice location:
  • Phone: 406-822-3001
  • Fax:
Mailing address:
  • Phone: 208-287-9420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number92
License Number StateMT

VIII. Authorized Official

Name: PATRICK ALAN METZGER
Title or Position: CHAIRMAN
Credential:
Phone: 406-822-3001