Organization
ABSAROKEE AMBULANCE SERVICE
Active
Other names
Absarokee Rural Vol Fire Dept Amb
Organization subpart
No
Provider details
NPI number
Authorized official
DAYLE FLYNN AEMT (DIRECTOR)
(406) 290-4152
Entity
Organization
Contact information
Practice address
105 W. B ST., ABSAROKEE, MT 59001
(406) 328-4703
Mailing address
PO BOX 324, ABSAROKEE, MT 59001-0324
(406) 328-4703
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
400
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440912
—
MT
01
—
202423400
MONTANA WORK COMP
MT
01
—
65062
BCBS
MT
Enumeration date
08/29/2014
Last updated
09/02/2014
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