Provider Demographics
NPI:1053028936
Name:EAGLE AMBULANCE SERVICES & TRANSPORT
Entity type:Organization
Organization Name:EAGLE AMBULANCE SERVICES & TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-202-1217
Mailing Address - Street 1:PO BOX 262
Mailing Address - Street 2:
Mailing Address - City:HALL
Mailing Address - State:MT
Mailing Address - Zip Code:59837-0262
Mailing Address - Country:US
Mailing Address - Phone:406-202-1217
Mailing Address - Fax:
Practice Address - Street 1:5498 MT HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:HALL
Practice Address - State:MT
Practice Address - Zip Code:59837-9707
Practice Address - Country:US
Practice Address - Phone:140-654-4730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance