Provider Demographics
NPI:1033869987
Name:CITY OF GREAT FALLS
Entity Type:Organization
Organization Name:CITY OF GREAT FALLS
Other - Org Name:GREAT FALLS FIRE RESCUE
Other - Org Type:Other Name
Authorized Official - Title/Position:DEPUTY CHIEF OF EMS
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:VIRTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-791-8974
Mailing Address - Street 1:PO BOX 2458
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:MT
Mailing Address - Zip Code:59917-2458
Mailing Address - Country:US
Mailing Address - Phone:406-870-8070
Mailing Address - Fax:
Practice Address - Street 1:105 9TH ST S
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-3715
Practice Address - Country:US
Practice Address - Phone:406-870-0860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF GREAT FALLS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-24
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport