Organization
PHILLIPS COUNTY
Active
Other names
PHILLIPS COUNTY EMS, PHILLIPS COUNTY AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
RILEY SAMUEL JOHN ABRAHAMSON NREMT (BOARD MEMBER / NREMT)
(406) 654-2336
Entity
Organization
Contact information
Practice address
314 S 2ND W, MALTA, MT 59538
(406) 654-2336
(406) 654-2940
Mailing address
PO BOX 289, MALTA, MT 59538-0289
(406) 654-2336
(406) 654-2940
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
058
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0447720
—
MT
01
—
1672
BCBS
MT
01
—
590059244
RAILRAOD MEDICARE
MT
05
—
9011070
—
SD
05
—
9047630
—
WA
Enumeration date
06/06/2006
Last updated
07/03/2024
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