Organization
THREE FORKS AREA AMBULANCE SERVICE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FRANK (CHAIRMAN OF THE BOARD OF DIRECTORS)
(406) 285-3671
Entity
Organization
Contact information
Practice address
15 EAST DATE STREET, THREE FORKS, MT 59752-0911
(406) 285-3819
(406) 285-3819
Mailing address
PO BOX 911, 15 E. DATE ST., THREE FORKS, MT 59752-0911
(406) 285-3819
(406) 285-3819
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
140
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
442273
—
MT
01
—
590006915
RAILROAD MEDICARE
MT
01
—
810472614 597520000
TRICARE
MT
Enumeration date
11/16/2005
Last updated
11/07/2013
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