# BRUNDAGE MOUNTAIN RESORT, LLC

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

## Provider details

- **NPI number:** 1801692439
- **Authorized official:** JONAS BEAN EMT-A (EMS COORDINATOR)
- **Authorized official phone:** (208) 634-4151

## Contact information

- **Practice address:** 3890 GOOSE LAKE ROAD, MCCALL, ID 83638
- **Practice address phone:** (208) 634-4151
- **Mailing address:** PO BOX 1062, MCCALL, ID 83638-1062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 02/24/2025
- **Last updated:** 06/27/2025