Organization
LINCOLN VOLUNTEER AMBULANCE SERVICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURAN MARIE NICOLAI (SECRETARY)
(406) 362-4313
Entity
Organization
Contact information
Practice address
114 STEMPLE PASS ROAD, #455, LINCOLN, MT 59639-0455
(406) 362-4313
Mailing address
STEMPLE PASS ROAD, PO BOX 455, LINCOLN, MT 59639-0455
(406) 362-4313
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
75
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44-1220
—
MT
Enumeration date
05/10/2007
Last updated
08/22/2020
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