Organization
ABSAROKEE RURAL VOL FIRE DEPT AMB
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
105 B STREET, ABSAROKEE, MT 59001
(406) 328-4703
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
036
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440912
—
MT
01
—
202423400
MONTANA WORK COMP
MT
01
—
65062
BCBS
MT
Enumeration date
05/02/2006
Last updated
11/17/2009
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