Organization
BEAVERHEAD EMERGENCY MEDICAL SERVICES
Active
Other names
Beaverhead EMS
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN BERGESON J.D. (BILLING MANAGER)
(406) 683-2391
Entity
Organization
Contact information
Practice address
330 E REEDER ST, DILLON, MT 59725-2777
(406) 683-2833
(406) 683-2833
Mailing address
P.O. BOX 1106, DILLON, MT 59725-1106
(406) 683-2833
(406) 683-2833
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
104
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
443352
—
MT
01
—
M000002338
MEDICARE ID - TYPE UNSPECIFIED
MT
Enumeration date
01/05/2007
Last updated
06/29/2016
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