Healthcare Provider Details

I. General information

NPI: 1225106511
Provider Name (Legal Business Name): MARION AMBULANCE & RESCUE SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2006
Last Update Date: 02/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 GOPHER LN
MARION MT
59925-9789
US

IV. Provider business mailing address

PO BOX 933
MARION MT
59925-0933
US

V. Phone/Fax

Practice location:
  • Phone: 406-854-2894
  • Fax:
Mailing address:
  • Phone: 406-854-2894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number027
License Number StateMT

VIII. Authorized Official

Name: GARY R TROUTMAN
Title or Position: PRESIDENT
Credential:
Phone: 406-854-2894