Organization
CITY OF LAUREL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH E OLSON JR. (MAYOR)
(406) 628-8456
Entity
Organization
Contact information
Practice address
115 W 1ST ST, LAUREL, MT 59044-3001
(406) 628-7431
(406) 628-2289
Mailing address
PO BOX 10, LAUREL, MT 59044-0010
(406) 628-7431
(406) 628-2289
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
020
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01472
BLUE CROSS BLUE SHIELD
MT
05
—
044-4626
—
MT
Enumeration date
10/25/2006
Last updated
07/31/2009
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