Healthcare Provider Details

I. General information

NPI: 1467559294
Provider Name (Legal Business Name): COUNTY OF GLACIER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 03/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 E MAIN ST
CUT BANK MT
59427-3126
US

IV. Provider business mailing address

1102 EAST MAIN STREET
CUT BANK MT
59427
US

V. Phone/Fax

Practice location:
  • Phone: 406-873-2727
  • Fax: 406-873-9072
Mailing address:
  • Phone: 406-873-2727
  • Fax: 406-873-9072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number106
License Number StateMT

VIII. Authorized Official

Name: AMIE J ALLISON
Title or Position: DIRECTOR
Credential:
Phone: 406-873-2727