Provider Demographics
NPI:1609921311
Name:WORDEN FIRE DEPARTMENT, INC
Entity Type:Organization
Organization Name:WORDEN FIRE DEPARTMENT, INC
Other - Org Name:WORDEN FIRE AND AMBULANCE
Other - Org Type:Other Name
Authorized Official - Title/Position:SECRETARY OF THE BOARD
Authorized Official - Prefix:MS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:JEANETTE
Authorized Official - Last Name:JENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-967-3561
Mailing Address - Street 1:PO BOX 369
Mailing Address - Street 2:
Mailing Address - City:WORDEN
Mailing Address - State:MT
Mailing Address - Zip Code:59088
Mailing Address - Country:US
Mailing Address - Phone:406-967-2114
Mailing Address - Fax:406-967-2110
Practice Address - Street 1:2463 3RD STREET
Practice Address - Street 2:
Practice Address - City:WORDEN
Practice Address - State:MT
Practice Address - Zip Code:59088
Practice Address - Country:US
Practice Address - Phone:406-967-2114
Practice Address - Fax:406-967-2110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT0953416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport