Organization
SEELEY LAKE FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R UNGARETTI CCEMTP (GENERAL MANAGER)
(406) 549-7104
Entity
Organization
Contact information
Practice address
200 FIRE HOUSE LANE, SEELEY LAKE, MT 59868
(406) 677-2400
Mailing address
PO BOX 1359, 1243 BURLINGTON AVE, MISSOULA, MT 59806-1359
(406) 549-7104
(406) 542-2785
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
64
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0441467
—
MT
01
—
1522
BCBS
MT
05
—
GA909MT
—
AK
Enumeration date
06/06/2006
Last updated
11/05/2012
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