Provider Demographics
NPI:1033341318
Name:BELT VOLUNTEER AMBULANCE SERVICE
Entity Type:Organization
Organization Name:BELT VOLUNTEER AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:CANTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-277-3642
Mailing Address - Street 1:PO BOX 74
Mailing Address - Street 2:11 BRIDGE ST
Mailing Address - City:BELT
Mailing Address - State:MT
Mailing Address - Zip Code:59412-0074
Mailing Address - Country:US
Mailing Address - Phone:406-277-3642
Mailing Address - Fax:406-277-3642
Practice Address - Street 1:1243 BURLINGTON AVE
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-5640
Practice Address - Country:US
Practice Address - Phone:888-850-4574
Practice Address - Fax:406-542-2785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT963416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport