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Organization

COUNTY OF BLAINE MONTANA

Active
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Organization

COUNTY OF BLAINE MONTANA

Active
Other names
Blaine County Ambulance
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY WILLIAMS (CLERK & RECORDER)
(406) 357-3240
Entity
Organization

Contact information

Practice address
420 OHIO ST, CHINOOK, MT 59523-0278
(406) 357-3240
(460) 357-2199
Mailing address
PO BOX 278, CHINOOK, MT 59523-0278
(406) 357-3240
(406) 357-2199

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01622
BLUE CROSS BLUE SHIELD
MT
05
0444886
MT
01
590059073
RAIL ROAD MEDICARE
MT
01
M000002274
MEDICARE
MT
Enumeration date
12/21/2006
Last updated
01/25/2019
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