MEDICARE: MEDEVENT911 MONTANA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	146D00000X	Personal Emergency Response Attendant
2	146N00000X	Basic Emergency Medical Technician
3	251K00000X	Public Health or Welfare Agency
4	146L00000X	Paramedic

General Provider Information

NPI Number	:	1275874919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDEVENT911 MONTANA LLC

Provider Business Mailing Address
First Line	:	1930 MCDONALD AVE
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-8402
Country	:	US
Telephone Number	:	877-811-6760
Fax Number	:	480-247-5512

Provider Business Practice Location Address
First Line	:	1930 MCDONALD AVE
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-8402
Country	:	US
Telephone Number	:	877-811-6760
Fax Number	:	480-247-5512

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TERESSA A MCCLUSKEY
Credential	:
Telephone Number	:	877-811-6760

Provider Enumeration Date	:	03/05/2013
Last Update Date	:	03/05/2013

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Directions to “MEDEVENT911 MONTANA LLC ” Practice Location

Language	Start Address	Practice Location

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