Provider Demographics
NPI:1902282239
Name:BRIDGER EMERGENCY TRAINING CENTER LLC
Entity Type:Organization
Organization Name:BRIDGER EMERGENCY TRAINING CENTER LLC
Other - Org Name:BEARTOOTH EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:KELM
Authorized Official - Suffix:
Authorized Official - Credentials:AEMT
Authorized Official - Phone:406-813-8231
Mailing Address - Street 1:2110 HARNISH BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-6263
Mailing Address - Country:US
Mailing Address - Phone:406-579-7248
Mailing Address - Fax:406-656-2132
Practice Address - Street 1:2110 HARNISH BLVD STE 1
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101
Practice Address - Country:US
Practice Address - Phone:406-579-7248
Practice Address - Fax:406-656-2132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-10
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3303416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport