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NPI Code Detail

MEDICARE: POWELL EMERGENCY MEDICAL SERVICE

MEDICARE: POWELL EMERGENCY MEDICAL SERVICE
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance

General Provider Information

NPI Number : 1316582315
Entity Type Code : Organization
Provider Name (Legal Business Name) : POWELL EMERGENCY MEDICAL SERVICE
Provider Business Mailing Address
First Line : 1100 HOLLENBECK LN
Second Line :
City : DEER LODGE
State : MT
Zip : 59722-2317
Country : US
Telephone Number : 406-415-1034
Fax Number : 406-846-2789
Provider Business Practice Location Address
First Line : 1100 HOLLENBECK LN
Second Line :
City : DEER LODGE
State : MT
Zip : 59722-2317
Country : US
Telephone Number : 406-415-1034
Fax Number : 406-846-2789
Authorized Official
Title or Position : CFO
Name : MRS. JENNIFER JO SPRING
Credential :
Telephone Number : 406-415-1034
Provider Enumeration Date : 11/13/2019
Last Update Date : 01/28/2020

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Directions to “POWELL EMERGENCY MEDICAL SERVICE ” Practice Location

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