Provider Demographics
NPI:1467559294
Name:COUNTY OF GLACIER
Entity Type:Organization
Organization Name:COUNTY OF GLACIER
Other - Org Name:GLACIER COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALLISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-873-2727
Mailing Address - Street 1:1102 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:CUT BANK
Mailing Address - State:MT
Mailing Address - Zip Code:59427
Mailing Address - Country:US
Mailing Address - Phone:406-873-2727
Mailing Address - Fax:406-873-9072
Practice Address - Street 1:1102 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CUT BANK
Practice Address - State:MT
Practice Address - Zip Code:59427-3126
Practice Address - Country:US
Practice Address - Phone:406-873-2727
Practice Address - Fax:406-873-9072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1063416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0445289Medicaid
MT59001489OtherRAILROAD
MT001982OtherBCBS
MT001982OtherBCBS