PHILLIPS COUNTY AMBULANCE SERVICE (NPI# 1699714352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699714352 |
Entity Type | Organization |
Organization Name | PHILLIPS COUNTY AMBULANCE SERVICE |
Other Organization Name | PHILLIPS COUNTY EMS |
Practice Address |
314 S 2nd W Malta MT 59538 |
Mailing Address |
Po Box 1359 Missoula MT 59806-1359 |
Practice Telephone | 4066542336 |
Practice Fax Number | 4066542940 |
Mailing Telephone | 4065497104 |
Mailing Fax Number | 4065422785 |
Enumeration Date | 2006-06-06 |
Last Update Date | 2009-11-17 |
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 |
058 | MT | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | RAILRAOD MEDICARE | 590059244 | 01 |
WA | 9047630 | 05 | |
MT | 0447720 | 05 | |
MT | BCBS | 1672 | 01 |
SD | 9011070 | 05 |
Other Name | Type Code |
---|---|
PHILLIPS COUNTY EMS | Doing Business As Name - Organization |
Street Address |
314 S 2ND W |
City | MALTA |
State | MT |
Zip Code | 59538 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831710979 | Elizabeth Jean Simpson | Physical Therapy Assistant | 801s 3rd St., Malta, MT 59538 | 2020-04-29 |
1447671359 | Kathie Rae Waters | Counselor | 47177 Us Hwy 2 West, Lower Level Suite 1, Malta, MT 59538 | 2013-12-18 |
1609133024 | Malta Family Health Clinic, PC | Registered Nurse | 830 1/2 Central Ave, Malta, MT 59538 | 2012-04-23 |
1205038379 | Phillips County Hospital Assn | Clinic/Center | 315 Sth 8th Ave E, Malta, MT 59538 | 2007-06-01 |
1053533471 | Phillips County Hospital Lab Xray | Clinical Medical Laboratory | 311 8th Ave So, Malta, MT 59538 | 2007-05-03 |
1972647717 | Malta Opportunities, Inc. | Day Training, Developmentally Disabled Services | 11 S 3rd St East, Malta, MT 59538 | 2007-02-16 |
1417091018 | Phillips County Hospital Assn | Home Health | 311 South 8th Ave East, Malta, MT 59538 | 2007-02-16 |
1356487201 | Edwin Medina | Family Medicine | 315 S 8th Ave. E, Malta, MT 59538 | 2007-01-29 |
1699843656 | Roger K Amundson | Chiropractor | 830 South Central Ave, Malta, MT 59538 | 2006-11-30 |
1972687937 | Valley Drug of Malta, Inc. | Durable Medical Equipment & Medical Supplies | 131 S 1st Ave E, Malta, MT 59538 | 2006-10-25 |
Find all providers in zip 59538 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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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.