Provider Demographics
NPI:1982663704
Name:MEAGHER COUNTY AMBULANCE
Entity Type:Organization
Organization Name:MEAGHER COUNTY AMBULANCE
Other - Org Name:MEAGHER COUNTY AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING CLERK
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:HEREIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-547-2529
Mailing Address - Street 1:PO BOX 120
Mailing Address - Street 2:
Mailing Address - City:WHITE SULPHUR SPRINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59645-0120
Mailing Address - Country:US
Mailing Address - Phone:406-547-2529
Mailing Address - Fax:406-547-3388
Practice Address - Street 1:205 W HAMPTON ST
Practice Address - Street 2:
Practice Address - City:WHITE SULPHUR SPRINGS
Practice Address - State:MT
Practice Address - Zip Code:59645-8003
Practice Address - Country:US
Practice Address - Phone:406-547-2529
Practice Address - Fax:406-547-3388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT091341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT01572OtherBCBS
MT44-5328Medicaid