JESSE AMBULANCE SERVICE LLC (NPI# 1437511821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437511821 |
Entity Type | Organization |
Organization Name | JESSE AMBULANCE SERVICE LLC |
Practice Address |
201 E. Holt Street Broadus MT 59317-0041 |
Mailing Address |
201 E. Holt Po Box 41 Broadus MT 59317 |
Practice Telephone | 4064362225 |
Practice Fax Number | 4064362033 |
Mailing Telephone | 4064362225 |
Mailing Fax Number | 4064362033 |
Enumeration Date | 2016-03-24 |
Last Update Date | 2016-03-24 |
Authorized Official Name | MR. RICHARD G. JESSE (ORGANIZER) |
Authorized Official Telephone | 6059395668 |
Authorized Official Credential | EMT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
446 | MT | Transportation Services |
Street Address |
201 E. HOLT STREET |
City | BROADUS |
State | MT |
Zip Code | 59317-0041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902429442 | The Body Shop Physical Therapy | Clinic/Center | 117 East Wilson Avenue, Broadus, MT 59317 | 2020-05-19 |
1801234141 | Powder River County | Clinic/Center | 104 North Trautman, Broadus, MT 59317 | 2013-06-10 |
1760768873 | Jami Jo Schroeder | Pharmacist | 120 S Park Ave, Broadus, MT 59317 | 2011-11-02 |
1316953102 | Larry's Iga Pharmacy | Pharmacy | 120 S. Park Street, Broadus, MT 59317 | 2006-07-31 |
1952550535 | Jesse Ambulance Service | Ambulance | 201 East Holt Street, Broadus, MT 59317-0000 | 2008-09-18 |
1629274998 | Powder River County | Public Health or Welfare | 507 N Lincoln, Broadus, MT 59317-0210 | 2007-06-25 |
1376606517 | Powder River Publichealth | Registered Nurse | 507 N. Lincoln, Broadus, MT 59317-0210 | 2006-12-19 |
1396052379 | Jaci 'k' Jean Phillips | Nurse Practitioner | 507 North Lincoln Avenue, Broadus, MT 59317-0489 | 2010-09-11 |
1265605398 | Eastern Montana Health Company | Clinic/Center | 507 North Lincoln Ave, Box 489, Broadus, MT 59317-0489 | 2008-04-09 |
1083245393 | Patrick D Flanigan | Nurse Practitioner | 507 North Lincoln Ave, Broadus, MT 59317-0489 | 2020-01-27 |
Find all providers in zip 59317 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1851645493 | Sleeping Giant Critical Care Transport, LLC | Ambulance | 1427 Orange Ave, Suite B, Helena, MT 59601-0646 | 2012-11-05 |
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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.