Organization
COUNTY OF FALLON
Active
Other names
Fallon County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
SELENA R NELSON (CFO)
(406) 778-5103
Entity
Organization
Contact information
Practice address
9 WEST FALLON AVENUE, BAKER, MT 59313-0638
(406) 778-5104
(406) 778-5155
Mailing address
PO BOX 820, BAKER, MT 59313-0820
(406) 778-5103
(406) 778-5155
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001962
BLUE CROSS OF MT
MT
05
—
448773
—
MT
Enumeration date
11/24/2006
Last updated
10/24/2012
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