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MOOSE MOUNTAIN SERVICES

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Company Details

Name: MOOSE MOUNTAIN SERVICES
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 07 Jan 2011 (15 years ago)
Entity Number: 439790
Place of Formation: IDAHO
File Number: 0000439790
ZIP code: 83864
County: Bonner County
Mailing Address: 3200 GREAT NORTHERN RD SANDPOINT, ID 83864

National Provider Identifier

NPI Number:
1730484304

Authorized Person:

Name:
JESSE JACKSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
343900000X - Non-emergency Medical Transport (VAN)
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000439790 2011-01-07

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State