Healthcare Provider Details

I. General information

NPI: 1831107242
Provider Name (Legal Business Name): HOT SPRINGS COMMUNITY AMBULANCE SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 S. ARLEE
HOT SPRINGS MT
59845-0830
US

IV. Provider business mailing address

PO BOX 830 106 S. ARLEE
HOT SPRINGS MT
59845-0830
US

V. Phone/Fax

Practice location:
  • Phone: 406-741-2211
  • Fax: 406-741-2210
Mailing address:
  • Phone: 406-741-2211
  • Fax: 406-741-2210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number072
License Number StateMT

VIII. Authorized Official

Name: JETTA K ALDRIDGE
Title or Position: OFFICE MANAGER
Credential:
Phone: 406-741-2211