Healthcare Provider Details

I. General information

NPI: 1255461653
Provider Name (Legal Business Name): COUNTY OF WHEATLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 06/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 A AVE NW
HARLOWTON MT
59036-6930
US

IV. Provider business mailing address

201 A AVE NW PO BOX 6930
HARLOWTON MT
59036-6930
US

V. Phone/Fax

Practice location:
  • Phone: 406-632-4892
  • Fax: 406-632-6018
Mailing address:
  • Phone: 406-632-4892
  • Fax: 406-632-6018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number16
License Number StateMT

VIII. Authorized Official

Name: MRS. KARI LYNN SCHUCHARD
Title or Position: AMBULANCE BILLER
Credential:
Phone: 406-632-4892