MEDICARE: TOWN OF WHITEHALL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	35	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467505941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF WHITEHALL

Provider Business Mailing Address
First Line	:	PO BOX 529
Second Line	:	2 NORTH WHITEHALL STREET
City	:	WHITEHALL
State	:	MT
Zip	:	59759-0529
Country	:	US
Telephone Number	:	406-287-3972
Fax Number	:	406-287-5088

Provider Business Practice Location Address
First Line	:	2 NORTH WHITEHALL STREET
Second Line	:
City	:	WHITEHALL
State	:	MT
Zip	:	59759-0529
Country	:	US
Telephone Number	:	406-287-3972
Fax Number	:	406-287-5088

Authorized Official
Title or Position	:	SERVICE DIRECTOR
Name	:	MRS. FRANCINE GIONO JANIK
Credential	:
Telephone Number	:	406-287-3972

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	06/19/2008

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Directions to “TOWN OF WHITEHALL ” Practice Location

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