MEDICARE: MARION AMBULANCE & RESCUE SERVICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	027	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225106511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARION AMBULANCE & RESCUE SERVICE INC

Provider Business Mailing Address
First Line	:	PO BOX 933
Second Line	:
City	:	MARION
State	:	MT
Zip	:	59925-0933
Country	:	US
Telephone Number	:	406-854-2894
Fax Number	:

Provider Business Practice Location Address
First Line	:	660 GOPHER LN
Second Line	:
City	:	MARION
State	:	MT
Zip	:	59925-9789
Country	:	US
Telephone Number	:	406-854-2894
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GARY R TROUTMAN
Credential	:
Telephone Number	:	406-854-2894

Provider Enumeration Date	:	12/03/2006
Last Update Date	:	02/20/2008

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