# BEAVERHEAD EMERGENCY MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beaverhead EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154478618
- **Authorized official:** JEAN BERGESON J.D. (BILLING MANAGER)
- **Authorized official phone:** (406) 683-2391

## Contact information

- **Practice address:** 330 E REEDER ST, DILLON, MT 59725-2777
- **Practice address phone:** (406) 683-2833
- **Practice address fax:** (406) 683-2833
- **Mailing address:** P.O. BOX 1106, DILLON, MT 59725-1106
- **Mailing address phone:** (406) 683-2833
- **Mailing address fax:** (406) 683-2833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 104 | MT | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 06/29/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 443352 | — | MT |
| 01 | — | M000002338 | MEDICARE ID - TYPE UNSPECIFIED | MT |