Provider Demographics
NPI:1851645493
Name:SLEEPING GIANT CRITICAL CARE TRANSPORT, LLC
Entity Type:Organization
Organization Name:SLEEPING GIANT CRITICAL CARE TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIDDLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-560-3554
Mailing Address - Street 1:1427 ORANGE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-0646
Mailing Address - Country:US
Mailing Address - Phone:406-560-1407
Mailing Address - Fax:
Practice Address - Street 1:1427 ORANGE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-0646
Practice Address - Country:US
Practice Address - Phone:406-560-1407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-05
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport