Provider Demographics
NPI:1134324692
Name:COUNTY OF HILL
Entity Type:Organization
Organization Name:COUNTY OF HILL
Other - Org Name:DBA: HILL COUNTY AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SEC / BOOKKEEPER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:STRISSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-397-3169
Mailing Address - Street 1:PO BOX 111
Mailing Address - Street 2:
Mailing Address - City:RUDYARD
Mailing Address - State:MT
Mailing Address - Zip Code:59540-0111
Mailing Address - Country:US
Mailing Address - Phone:406-397-3169
Mailing Address - Fax:406-397-3169
Practice Address - Street 1:24 1ST ST NE
Practice Address - Street 2:
Practice Address - City:RUDYARD
Practice Address - State:MT
Practice Address - Zip Code:59540-0111
Practice Address - Country:US
Practice Address - Phone:406-355-4335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT4423416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT044-0266Medicaid
MT65272OtherBCBSMT
MT044-0266Medicaid