Organization
EAGLE AMBULANCE SERVICE,INC
Active
Other names
Eagle Emergency Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE R JACKSON (OWNER)
(406) 441-9111
Entity
Organization
Contact information
Practice address
6 MARKET ST, CLANCY, MT 59634-9767
(406) 441-9111
(406) 449-6302
Mailing address
PO BOX 822, EAST HELENA, MT 59635-0822
(406) 441-9111
(406) 449-6302
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
079
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
443222
—
MT
Enumeration date
06/07/2006
Last updated
10/07/2009
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