NPI 1851676365

Authentic Agenda, INC.

Organisation Basic Emergency Medical Technician Clyde Park, MT

Practice location

Address: 386 Hammond Creek Rd Crazy Mountain Ranch, Clyde Park, MT 59018
Phone: (406) 600-2498
Mailing address: 1011 Buckrake Ave, Bozeman, MT 59718-6029

Authorised official

Name: Brian Carroll
Title: Secretary/Treasurer
Phone: (406) 600-2498

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X

Other Emergency Medical Technician, Basic providers in Montana →

Registry record

NPI: 1851676365
Entity type: Organization
NPI issued: 15 Oct 2011
Record last updated: 15 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.