Organization
AUGUSTA VOLUNTEER AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT R GEISE (PRESIDENT)
(406) 562-3697
Entity
Organization
Contact information
Practice address
410 MANIX STREET, AUGUSTA, MT 59410-0408
(406) 562-3697
Mailing address
PO BOX 408, AUGUSTA, MT 59410-0408
(406) 562-3277
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000001422
BLUE CROSS BLUE SHIELD MT
MT
05
—
0446498
—
MT
Enumeration date
12/01/2006
Last updated
06/07/2021
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