# CITY OF GLENDIVE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134254873
- **Authorized official:** KEVIN DORWART (AMBULANCE DIRECTOR)
- **Authorized official phone:** (406) 377-3318

## Contact information

- **Practice address:** 300 S MERRILL AVE, GLENDIVE, MT 59330-1610
- **Practice address phone:** (406) 377-3318
- **Practice address fax:** (406) 377-6873
- **Mailing address:** 300 S MERRILL AVE, GLENDIVE, MT 59330-1610
- **Mailing address phone:** (406) 377-3318
- **Mailing address fax:** (406) 377-6873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 48 | MT | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 11/13/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000001292 | BCBS | MT |
| 05 | — | 0445575 | — | MT |