Provider Demographics
NPI:1972625275
Name:BIG SKY FIRE DEPARTMENT
Entity Type:Organization
Organization Name:BIG SKY FIRE DEPARTMENT
Other - Org Name:BIG SKY FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ALECIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-995-2100
Mailing Address - Street 1:PO BOX 160382
Mailing Address - Street 2:650 RAINBOW TROUT RUN
Mailing Address - City:BIG SKY
Mailing Address - State:MT
Mailing Address - Zip Code:59716-0382
Mailing Address - Country:US
Mailing Address - Phone:406-995-2100
Mailing Address - Fax:406-995-2104
Practice Address - Street 1:650 RAINBOW TROUT RUN (STATION 1)
Practice Address - Street 2:
Practice Address - City:BIG SKY
Practice Address - State:MT
Practice Address - Zip Code:59716
Practice Address - Country:US
Practice Address - Phone:406-995-2100
Practice Address - Fax:406-995-2104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand TransportGroup - Single Specialty
No341600000XTransportation ServicesAmbulanceGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT65432OtherBLUE CROSS BLUE SHIELD
MTM000002379OtherMEDICARE PART B