Provider Demographics
NPI:1770943771
Name:WISE RIVER VOLUNTEER FIRE COMPANY
Entity type:Organization
Organization Name:WISE RIVER VOLUNTEER FIRE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY-TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:WISE RIVER VOLUNTEER
Authorized Official - Phone:406-832-3130
Mailing Address - Street 1:PO BOX 143
Mailing Address - Street 2:
Mailing Address - City:WISE RIVER
Mailing Address - State:MT
Mailing Address - Zip Code:59762-0143
Mailing Address - Country:US
Mailing Address - Phone:406-832-3366
Mailing Address - Fax:
Practice Address - Street 1:64795 MT HIGHWAY 43
Practice Address - Street 2:
Practice Address - City:WISE RIVER
Practice Address - State:MT
Practice Address - Zip Code:59762-9700
Practice Address - Country:US
Practice Address - Phone:406-832-3366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty