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Organization
COUNTY OF GOLDEN VALLEY OFFICE OF CLERK & RECORDER
Active
Organization
COUNTY OF GOLDEN VALLEY OFFICE OF CLERK & RECORDER
Active
Other names
Golden Valley Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
LYLE BURGESS (DIRECTOR)
(406) 568-2321
Entity
Organization
Contact information
Practice address
107 KEMP STREET, RYEGATE, MT 59074
(406) 568-2321
(406) 568-2598
Mailing address
PO BOX 55, RYEGATE, MT 59074-0055
(406) 568-2321
(406) 568-2598
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020012
BLUE CROSS
MT
05
—
272833
—
MT
01
—
590014533
RR MEDICARE
MT
Enumeration date
03/30/2007
Last updated
07/21/2022
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