# WILDERNESS MEDICS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Corporate Medical Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316463136
- **Authorized official:** JACK E. SPEARS (PRESIDENT/CEO)
- **Authorized official phone:** (800) 294-4214

## Contact information

- **Practice address:** 2069 NORMAN WAY, HAMILTON, MT 59840
- **Practice address phone:** (800) 294-4214
- **Practice address fax:** (406) 924-1798
- **Mailing address:** P.O. BOX 722, HAMILTON, MT 59840
- **Mailing address phone:** (800) 294-4214
- **Mailing address fax:** (406) 924-1798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 187 | WY | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 4018 | ID | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 750 | MT | Yes |

## Other

- **Enumeration date:** 08/15/2017
- **Last updated:** 08/15/2017