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Organization

COUNTY OF PETROLEUM

Active
Other names
Petroleum County Ambulance
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA RAE BEVIS (TREASURER)
(406) 429-5551
Entity
Organization

Contact information

Practice address
16 S BRODWAY, WINNETT, MT 59087-0226
(406) 429-5551
Mailing address
P.O. BOX 226, WINNETT, MT 59087-0226
(406) 429-5551
(406) 429-6328

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
069
MT
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000065382
BLUE CROSS BLUE SHIELD
MT
05
041099
MT
Enumeration date
08/18/2006
Last updated
02/02/2024
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