Provider Demographics
NPI:1871485987
Name:BATES, MATTHEW (EMT)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:BATES
Suffix:
Gender:M
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 PRAIRIE GLEN WAY
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-9333
Mailing Address - Country:US
Mailing Address - Phone:406-285-1652
Mailing Address - Fax:
Practice Address - Street 1:141 PRAIRIE GLEN WAY
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-9333
Practice Address - Country:US
Practice Address - Phone:406-285-1652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-EMT-LIC-100119146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic