GOLDEN VALLEY AMBULANCE SERVICE (NPI# 1679692800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679692800 |
| Entity Type | Organization |
| Organization Name | GOLDEN VALLEY AMBULANCE SERVICE |
| Practice Address |
104 Kemp Street Ryegate MT 59074 |
| Mailing Address |
104 Kemp Street P.o. Box 55 Ryegate MT 59074 |
| Practice Telephone | 4065682251 |
| Practice Fax Number | 4065682528 |
| Mailing Telephone | 4065682251 |
| Mailing Fax Number | 4065682528 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LYLE DALE BURGESS (AMBULANCE DIRECTOR) |
| Authorized Official Telephone | 4065682251 |
| Authorized Official Credential | EMT-B |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 157 | MT | Emergency Medical Service Providers |
| Street Address |
104 KEMP STREET |
| City | RYEGATE |
| State | MT |
| Zip Code | 59074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245435460 | Lesley Hooper | Home Health Aide | 307 Harkins, Box 172, Ryegate, MT 59074 | 2007-06-18 |
| 1538289657 | County of Golden Valley Office of Clerk & Recorder | Ambulance | 107 Kemp Street, Ryegate, MT 59074 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134661085 | Ericka Dekle | Registered Nurse | 324 South Bayleyhazen Road, Ryegate, VT 05042 | 2016-11-09 |
| 1588110845 | Samantha Winsor | Registered Nurse | 324, South Bayley Hazen Road, Ryegate, VT 05042 | 2016-08-28 |
| 1760840714 | Tracey Billings | Registered Nurse | 324 S. Bayley Hazen Rd, Ryegate, VT 05042 | 2016-02-05 |
| 1518368075 | Melissa Oloughlin | Registered Nurse | 324 South Bayley Hazen Rd, Ryegate, VT 05042 | 2014-09-15 |
| 1568737328 | Luke Gaillard | Licensed Practical Nurse | 324 South Bayley-hazen Rd, Ryegate, VT 05042 | 2012-03-13 |
| 1043520448 | Jennifer G. Humphries | Licensed Practical Nurse | 149 South Bayley Hazen Rd., Home Acres Farm, Ryegate, VT 05042 | 2010-10-19 |
| 1881876688 | Holly Levie | Registered Nurse | 149 South Bailey Hazen Rd, Ryegate, VT 05042-0000 | 2007-12-04 |
| 1083814446 | Gayle Linda Wormer | Registered Nurse | 149 South Bayley Hazen Rd, Ryegate, VT 05042 | 2007-07-23 |
| 1356556260 | Melissa Marcum | Licensed Vocational Nurse | 149 S Bailey Hazen Rd, Ryegate, VT 05042 | 2007-05-14 |
| 1063447340 | John Dale Patton | General Practice | 991 Balen Hazen Rd, Ryegate, VT 05042 | 2006-07-12 |
| Find all providers in RYEGATE | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003439985 | Shelby Angela Crandall | Emergency Medical Technician, Basic | 11 Two Springs Rd, Ennis, MT 59729-9188 | 2020-05-26 |
| 1770943771 | Wise River Volunteer Fire Company | Emergency Medical Technician, Basic | 64795 Mt Highway 43, Wise River, MT 59762-9700 | 2016-03-03 |
| 1871922203 | Bonnie Lynn Longknife | Emergency Medical Technician, Basic | Rr 1 Box 642, Box Elder, MT 59521-9730 | 2013-11-06 |
| 1851676365 | Authentic Agenda, Inc. | Emergency Medical Technician, Basic | 386 Hammond Creek Rd, Crazy Mountain Ranch, Clyde Park, MT 59018 | 2011-10-15 |
| 1780847509 | Eastgate Vfd | Emergency Medical Technician, Basic | 3895 Buttercup, East Helena, MT 59635-0735 | 2008-07-02 |
| 1497871800 | Dennis Trenton Murphy | Emergency Medical Technician, Basic | 32 Campus Dr # Ac250, Rhinehart Atc, Missoula, MT 59812-0003 | 2007-03-21 |
| 1811045511 | County of Prairie | Emergency Medical Technician, Basic | 217 West Park St, Terry, MT 59349-0126 | 2007-01-08 |
| 1255493235 | Town of Ennis | Emergency Medical Technician, Basic | 328 West Main St., Ennis, MT 59729-0147 | 2006-12-15 |
| 1619046661 | Glenn D Houser | Emergency Medical Technician, Basic | 450 Osloski Rd, Eureka, MT 59917-9534 | 2006-11-06 |
| 1205887924 | Community Hospital of Anaconda | Emergency Medical Technician, Basic | 401 W Pennsylvania St, Anaconda, MT 59711-1931 | 2006-05-15 |
| Find all providers with the same taxonomy | ||||
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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.