Organization
SLEEPING GIANT AMBULANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH HARBOUR (OWNER)
(406) 422-7185
Entity
Organization
Contact information
Practice address
29 MILE HIGH LANE, ELLISTON, MT 59728-0196
(406) 422-7185
Mailing address
PO BOX 196, ELLISTON, MT 59728-0196
(406) 422-7185
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
698
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811142110
—
MT
Enumeration date
12/01/2008
Last updated
03/21/2010
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