Organization
JESSE AMBULANCE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD G. JESSE EMT (ORGANIZER)
(605) 939-5668
Entity
Organization
Contact information
Practice address
201 E. HOLT STREET, BROADUS, MT 59317-0041
(406) 436-2225
(406) 436-2033
Mailing address
201 E. HOLT, PO BOX 41, BROADUS, MT 59317
(406) 436-2225
(406) 436-2033
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
446
MT
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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