Organization
GRASS RANGE QUICK RESPONSE UNIT INC
Active
Organization
GRASS RANGE QUICK RESPONSE UNIT INC
Active
Other names
Grass Range Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM STAHL (DIRECTOR/PRESIDENT)
(406) 428-2362
Entity
Organization
Contact information
Practice address
607 NO MAIN ST, GRASS RANGE, MT 59032-8081
(406) 428-2362
Mailing address
PO BOX 842, GRASS RANGE, MT 59032-0842
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440258
—
MT
01
—
12-00457-8
WORKERS COMP-STATE OF MT
MT
Enumeration date
09/05/2006
Last updated
04/08/2021
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