Organization Name: | BIGFORK QRU & VOL AMB |
NPI Number: | 1316978919 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACY M. NORRED (ADMINISTRATIVE) |
Mailing Address: | 810 Grand Dr Bigfork |
State: | MT US |
Postal Code: | 599113531 |
Phone Number: | 4068372521 |
Fax Number: | 4068372521 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 05/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 172 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |