Organization
ANACONDA-DEER LODGE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RJ TOCHER (AMBULANCE SUPERVISOR)
(406) 563-2164
Entity
Organization
Contact information
Practice address
420 W COMMERCIAL AVE, ANACONDA, MT 59711-2172
(406) 563-2164
Mailing address
800 MAIN ST, ANACONDA, MT 59711-2950
(406) 563-4000
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
001
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
441701
—
MT
01
—
590059327
RAILROAD MEDICARE
MT
Enumeration date
11/29/2006
Last updated
11/05/2019
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