Organization
COUNTY OF GRANITE
Active
Other names
GRANITE COUNTY AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R UNGARETTI CCEMTP (GENERAL MANAGER)
(406) 549-7104
Entity
Organization
Contact information
Practice address
100 E KEARNEY, PHILLIPSBURG, MT 59858
(406) 859-3634
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
25
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440215
—
MT
01
—
1632
BC BS
MT
01
—
184996100
WORK COMP
MT
Enumeration date
05/02/2006
Last updated
07/09/2009
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