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Organization

TOWN OF ENNIS

Active
Other names
Ennis Volunteer Ambulance Service
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RALPH HERNANDEZ (MAYOR)
(406) 682-4287
Entity
Organization

Contact information

Practice address
328 WEST MAIN ST., ENNIS, MT 59729-0147
(406) 682-4287
(406) 682-5011
Mailing address
PO BOX 147, ENNIS, MT 59729-0147
(406) 682-4287
(406) 682-5011

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
46
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
449553
MT
Enumeration date
12/15/2006
Last updated
06/19/2008
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