Healthcare Provider Details

I. General information

NPI: 1467505941
Provider Name (Legal Business Name): TOWN OF WHITEHALL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 06/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 NORTH WHITEHALL STREET
WHITEHALL MT
59759-0529
US

IV. Provider business mailing address

PO BOX 529 2 NORTH WHITEHALL STREET
WHITEHALL MT
59759-0529
US

V. Phone/Fax

Practice location:
  • Phone: 406-287-3972
  • Fax: 406-287-5088
Mailing address:
  • Phone: 406-287-3972
  • Fax: 406-287-5088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number35
License Number StateMT

VIII. Authorized Official

Name: MRS. FRANCINE GIONO JANIK
Title or Position: SERVICE DIRECTOR
Credential:
Phone: 406-287-3972