Healthcare Provider Details

I. General information

NPI: 1245427996
Provider Name (Legal Business Name): LIMA RURAL FIRE DEPT AND AMBULANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2007
Last Update Date: 02/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N BROADWAY
LIMA MT
59739-0161
US

IV. Provider business mailing address

PO BOX 161
LIMA MT
59739-0161
US

V. Phone/Fax

Practice location:
  • Phone: 406-276-3449
  • Fax: 650-471-6245
Mailing address:
  • Phone: 406-276-3449
  • Fax: 650-471-6245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number453
License Number StateMT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: LINDA L COCHRAN
Title or Position: AMBULANCE DIRECTOR
Credential: MED-AEMT-LIC-335 MT
Phone: 406-276-3490