Provider Demographics
NPI:1568878353
Name:BRIDGER EMERGENCY TRAINING CENTER
Entity Type:Organization
Organization Name:BRIDGER EMERGENCY TRAINING CENTER
Other - Org Name:MONTANA EVENT-MED
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KELM
Authorized Official - Suffix:
Authorized Official - Credentials:A-EMT
Authorized Official - Phone:406-579-7248
Mailing Address - Street 1:1000 CRUISER LN APT I
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-8679
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 CRUISER LN APT I
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-8679
Practice Address - Country:US
Practice Address - Phone:406-579-7248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle