# LINCOLN VOLUNTEER AMBULANCE SERVICE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487868063
- **Authorized official:** MS. LAURAN MARIE NICOLAI (SECRETARY)
- **Authorized official phone:** (406) 362-4313

## Contact information

- **Practice address:** 114 STEMPLE PASS ROAD, \#455, LINCOLN, MT 59639-0455
- **Practice address phone:** (406) 362-4313
- **Mailing address:** STEMPLE PASS ROAD, PO BOX 455, LINCOLN, MT 59639-0455
- **Mailing address phone:** (406) 362-4313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 75 | MT | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 44-1220 | — | MT |