Organization
GERALDINE COMMUNITY AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH H. ENGELLANT (CHAIRMAN)
(406) 622-3600
Entity
Organization
Contact information
Practice address
2235 N SHINE LAKE RD., GERALDINE, MT 59446-0123
(406) 622-3600
(406) 622-3600
Mailing address
P.O. BX 755, FORT BENTON, MT 59442-0755
(406) 622-3600
(406) 622-3600
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
108
MT
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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