Organization
BLAINE COUNTY
Active
Other names
BLAINE COUNTY AMBULANCE III
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY WILLIAMS (DEPUTY CLERK)
(406) 357-3240
Entity
Organization
Contact information
Practice address
10 1ST AVE SW, HARLEM, MT 59526
(406) 357-3240
Mailing address
10 1ST AVE SW, HARLEM, MT 59526
(406) 357-3240
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
128
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622
BCBS
MT
05
—
0444886
—
MT
01
—
590059073
RR MEDICARE
MT
01
—
M000020029
MEDICARE
MT
Enumeration date
02/28/2007
Last updated
07/20/2009
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