Organization
BIGFORK QRU & VOL AMB
Active
Other names
Bigfork Volunteer Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY M. NORRED (ADMINISTRATIVE)
(406) 837-2521
Entity
Organization
Contact information
Practice address
810 GRAND DR, BIGFORK, MT 59911-3531
(406) 837-2521
(406) 837-2521
Mailing address
PO BOX 1359, MISSOULA, MT 59806-1359
(406) 549-7104
(406) 542-2785
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
172
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590002748
RAILROAD MEDICARE
MT
Enumeration date
07/05/2006
Last updated
05/01/2008
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