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27D2103241 CLIA NUMBER - MONTANA CITY VOLUNTEER FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 27D2103241

Facility Name: MONTANA CITY VOLUNTEER FIRE DEPARTMENT

Facility Address:
13 MISSION MOUNTAIN RD
MONTANA CITY, MT
ZIP 59634
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Facility Phone Number: 406 465-2935

Facility Type: Other - NONTRANSPORTING EMS SERVC

Certificate Type: Waiver
NPI Number: 1417206764

Taxonomy: 251300000X - Local Education Agency (LEA)
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

CLIA Record

Field Name Field Value
CLIA Number 27D2103241
LAB Type Other - NONTRANSPORTING EMS SERVC
Facility Name MONTANA CITY VOLUNTEER FIRE DEPARTMENT
Street 13 MISSION MOUNTAIN RD
City MONTANA CITY
State MT
ZIP 59634
Phone 406 465-2935
CertificateType 4
CertificateEffectiveDate 10/8/2023
CertificateExpirationDate 10/7/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024