Moose Mountain Services

NPI #1730484304 in Sandpoint, Idaho

Provider Information

NPI Number
1730484304
Entity Type
Organization
Organization Name
Moose Mountain Services
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Jan 12, 2011
Last Updated
Jan 12, 2011

Practice Location

Address
3200 GREAT NORTHERN RD
State
Idaho
ZIP Code
83864-9214
Phone
(770) 375-8176

Authorized Official

Name
JESSE JACKSON
Title
OWNER
Phone
(208) 290-6726

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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