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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