Provider Demographics
NPI:1518018100
Name:COUNTY OF DANIELS
Entity Type:Organization
Organization Name:COUNTY OF DANIELS
Other - Org Name:DANIELS COUNTY
Other - Org Type:Other Name
Authorized Official - Title/Position:CLAIMS PROCESSOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LELAND
Authorized Official - Middle Name:O
Authorized Official - Last Name:HINKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-487-5079
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:SCOBEY
Mailing Address - State:MT
Mailing Address - Zip Code:59263-0247
Mailing Address - Country:US
Mailing Address - Phone:406-487-5561
Mailing Address - Fax:
Practice Address - Street 1:213 MAIN
Practice Address - Street 2:
Practice Address - City:SCOBEY
Practice Address - State:MT
Practice Address - Zip Code:59263-0247
Practice Address - Country:US
Practice Address - Phone:406-487-5561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT93341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000001412OtherBCBS
MT0000444665Medicaid
MT000002266Medicare ID - Type Unspecified