AMBULANCE SERVICE INC (NPI# 1063451722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063451722 |
| Entity Type | Organization |
| Organization Name | AMBULANCE SERVICE INC |
| Practice Address |
510 Oak St Nez Perce ID 83543 |
| Mailing Address |
1008 Burlington Ave Ste C Po Box 1359 Missoula MT 59806-1359 |
| Practice Telephone | 2089379909 |
| Practice Fax Number | 2089379787 |
| Mailing Telephone | 4065497104 |
| Mailing Fax Number | 4065422785 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN R UNGARETTI (GENERAL MANAGER) |
| Authorized Official Telephone | 4065497104 |
| Authorized Official Credential | CCEMTP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
7204 | ID | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | REGENT BLUE SHIELD | 000010015169 | 01 |
| ID | BCBS | E1003 | 01 |
| WA | 9054727 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528023231 | Ambulance Service Inc | Ambulance | 120 Minnesota Ave, Breckenridge, MN 56520-1946 | 2006-04-18 |
| Street Address |
510 OAK ST |
| City | NEZ PERCE |
| State | ID |
| Zip Code | 83543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366480394 | St. Mary's Hospital | Nurse Practitioner | 501 Oak, Nezperce, ID 83543 | 2006-06-03 |
| 1982746939 | Nezperce Joint School District #302 | Local Education Agency (LEA) | 615 2nd Avenue, Nezperce, ID 83543-0297 | 2007-02-13 |
| 1720116551 | Idaho Dept of Health & Welfare Reg II Cmh Moscow | Clinic/Center | 1350 Troy Hwy, Moscow, ID 83543-3995 | 2007-03-01 |
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.