Lakeside Qru, Inc

NPI 1205875978 - Ambulance - 3416L0300X

NPI Details
NPI 1205875978
Enumeration Date 06/06/2006
Last Updated 10/09/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOHN R JOHN
Position GENERAL MANAGER
Phone (406) 844-2775
Fax (406) 844-3663
Practice Location
125 BILLS RD
LAKESIDE MT, 59922, US
Phone (406) 844-2775
Fax (406) 844-3663
Business Location
PO BOX 1359
MISSOULA MT, 59806-1359, US
Phone (406) 549-7104
Fax (406) 542-2785
Toxanomy
Taxonomy Code 3416L0300X
License State Montana
License Number 152
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According to our database, Lakeside Qru, Inc NPI is 1205875978, taxonomy code is 3416L0300X and license number is 152, license state is located at Montana. Lakeside Qru, Inc physically located at 125 Bills Rd, Lakeside MT, 59922. NPI Number 1033115704 has the healthcare provider type.

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1205875978 NPI number is provided on an as is basis without warranty of any kind. 1205875978 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeside Qru, Inc are for informational purposes only.