# EAGLE AMBULANCE SERVICE,INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eagle Emergency Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770523128
- **Authorized official:** MRS. KATHERINE R JACKSON (OWNER)
- **Authorized official phone:** (406) 441-9111

## Contact information

- **Practice address:** 6 MARKET ST, CLANCY, MT 59634-9767
- **Practice address phone:** (406) 441-9111
- **Practice address fax:** (406) 449-6302
- **Mailing address:** PO BOX 822, EAST HELENA, MT 59635-0822
- **Mailing address phone:** (406) 441-9111
- **Mailing address fax:** (406) 449-6302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 079 | MT | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 10/07/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 443222 | — | MT |