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Organization
JESSE AMBULANCE SERVICE
Active
Organization
JESSE AMBULANCE SERVICE
Active
Other names
Broadus Truck & Supply
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY L. GRAFF (EMS DIRECTOR)
(406) 436-2225
Entity
Organization
Contact information
Practice address
201 EAST HOLT STREET, BROADUS, MT 59317-0000
(406) 436-2225
(406) 436-2033
Mailing address
PO BOX 236, BROADUS, MT 59317-0236
(406) 436-2225
(406) 436-2033
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
103
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000065042
BLUE CROSS BLUE SHIELD OF MT
MT
05
—
446654
—
MT
Enumeration date
09/18/2008
Last updated
09/18/2008
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