Provider Demographics
NPI:1851956114
Name:COUNTY OF BIG HORN
Entity Type:Organization
Organization Name:COUNTY OF BIG HORN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBULANCE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIELE
Authorized Official - Middle Name:
Authorized Official - Last Name:O'BANION
Authorized Official - Suffix:
Authorized Official - Credentials:CCEMTP
Authorized Official - Phone:406-665-8740
Mailing Address - Street 1:809 N CUSTER AVE
Mailing Address - Street 2:
Mailing Address - City:HARDIN
Mailing Address - State:MT
Mailing Address - Zip Code:59034-1311
Mailing Address - Country:US
Mailing Address - Phone:406-665-8740
Mailing Address - Fax:
Practice Address - Street 1:809 N CUSTER AVE
Practice Address - Street 2:
Practice Address - City:HARDIN
Practice Address - State:MT
Practice Address - Zip Code:59034-1311
Practice Address - Country:US
Practice Address - Phone:406-665-8740
Practice Address - Fax:406-665-8760
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BHCA HOME HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-02
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health