Organization
TOWN OF WEST YELLOWSTONE EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PHILLIPS (MAYOR TOWN OF WEST YELLOWSTONE)
(406) 646-7795
Entity
Organization
Contact information
Practice address
400 YELLOWSTONE AVE, WEST YELLOWSTONE, MT 59758
(406) 646-9094
(406) 646-7511
Mailing address
1008 BURLINGTON AVE, SUITE C, MISSOULA, MT 59801
(406) 549-7104
(406) 542-2785
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
110
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0441031
—
MT
01
—
65252
BCBS
MT
Enumeration date
08/18/2006
Last updated
08/22/2020
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