Grass Range Quick Response Unit Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GRASS RANGE QUICK RESPONSE UNIT INC

Doing business as

Grass Range Ambulance Service

Practice address

607 No Main St
Grass Range, MT 59032-8081

Phone

(406) 428-2362

NPI assigned

Sep 5, 2006

Last updated

Apr 8, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Stahl

Title

Director/President

Phone

(406) 428-2362

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Grass Range Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1215030598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842",
            "city": "GRASS RANGE",
            "state": "MT",
            "postal_code": "590320842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 NO MAIN ST",
            "city": "GRASS RANGE",
            "state": "MT",
            "postal_code": "590328081",
            "telephone_number": "406-428-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASS RANGE QUICK RESPONSE UNIT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "406-428-2362"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440258",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP-STATE OF MT",
            "identifier": "12-00457-8",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grass Range Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grass Range Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Mikel Delaney, RD, LN
• Fuel Your Rhythm

• Land Ambulance in Grass Range, MT
• Providers in Grass Range, MT by specialty
• Land Ambulance in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.