Organization
CHRPROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TIFFANY HAGERTY (CHR 3RD PARTY BILLER)
(406) 338-2477
Entity
Organization
Contact information
Practice address
201 1ST AVE N.E., BROWNING, MT 59417
(406) 338-2477
(406) 338-5089
Mailing address
P.O. BOX 547, 201 1ST AVE N.E., BROWNING, MT 59417
(406) 338-2477
(406) 338-5089
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
343900000X
MT
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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