| Organization Name: | COMMUNITY AMBULANCE SERVICE OF WESTERN SANDERS COUNTY, INC. |
| NPI Number: | 1710080817 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GERI LEE (BILLING AGENT) |
| Mailing Address: | 311 Noxon Ave Noxon |
| State: | MT US |
| Postal Code: | 598530170 |
| Phone Number: | 4068472415 |
| Fax Number: | 4038473415 |
| NPI Enumeration Date: | 09/06/2006 |
| NPI Last Update Date: | 10/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 061BLS |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |