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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