Provider Demographics
NPI:1245427996
Name:LIMA RURAL FIRE DEPT AND AMBULANCE
Entity Type:Organization
Organization Name:LIMA RURAL FIRE DEPT AND AMBULANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBULANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:COCHRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MED-AEMT-LIC-335 MT
Authorized Official - Phone:406-276-3490
Mailing Address - Street 1:PO BOX 161
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:MT
Mailing Address - Zip Code:59739-0161
Mailing Address - Country:US
Mailing Address - Phone:406-276-3449
Mailing Address - Fax:650-471-6245
Practice Address - Street 1:110 N BROADWAY
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:MT
Practice Address - Zip Code:59739-0161
Practice Address - Country:US
Practice Address - Phone:406-276-3449
Practice Address - Fax:650-471-6245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT4533416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport