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Organization
THREE FORKS AREA AMBULANCE SERVICE DISTRICT
Active
Organization
THREE FORKS AREA AMBULANCE SERVICE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FRANK (CHAIRMAN OF THE BOARD OF DIRECTORS)
(406) 285-3671
Entity
Organization
Contact information
Practice address
15 EAST DATE STREET, THREE FORKS, MT 59752-0911
(406) 285-3819
(406) 285-3819
Mailing address
PO BOX 911, 15 E. DATE ST., THREE FORKS, MT 59752-0911
(406) 285-3819
(406) 285-3819
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
140
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
442273
—
MT
01
—
590006915
RAILROAD MEDICARE
MT
01
—
810472614 597520000
TRICARE
MT
Enumeration date
11/16/2005
Last updated
11/07/2013
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