MEMORIAL AMBULANCE OF FORT BENTON MONTANA (NPI# 1932167640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932167640 |
| Entity Type | Organization |
| Organization Name | MEMORIAL AMBULANCE OF FORT BENTON MONTANA |
| Other Organization Name | MEMORIAL AMBULANCE SERVICE |
| Practice Address |
1011 Charles St Ft Benton MT 59442 |
| Mailing Address |
Po Box 1359 2600 S Garfield St Missoula MT 59806-1359 |
| Practice Telephone | 4066223751 |
| Practice Fax Number | 4066223012 |
| Mailing Telephone | 4065497104 |
| Mailing Fax Number | 4065422785 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2015-03-10 |
| 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 |
14 | MT | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0445068 | 05 | |
| MT | BC/BS | 1352 | 01 |
| Other Name | Type Code |
|---|---|
| Memorial Ambulance Service | Other Name - Individual/Organization |
| Street Address |
1011 CHARLES ST |
| City | FT BENTON |
| State | MT |
| Zip Code | 59442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558878678 | Natalie Dawn Bahnmiller | Social Worker | 1020 13th Street, Fort Benton, MT 59442 | 2018-01-10 |
| 1790236958 | Stanley Brammeier | Nurse Practitioner | 1203 15th St., Fort Benton, MT 59442 | 2016-10-21 |
| 1134596109 | Krystal Ann Joyce | Physical Therapist | 1714 Front St., Fort Benton, MT 59442 | 2015-08-26 |
| 1578891289 | Montana Therapy | Nurse Practitioner | 2111 Washington St, Fort Benton, MT 59442 | 2009-11-19 |
| 1568589661 | Christopher Halko | Pharmacist | 1418 Front Street, Fort Benton, MT 59442 | 2007-03-23 |
| 1508990698 | Chouteau County District Hospital | Skilled Nursing Facility | 1501 St. Charles, Fort Benton, MT 59442 | 2007-03-14 |
| 1538209390 | Eye Clinic of Great Falls, PC | Optometrist | 1516 Chouteau Street, Fort Benton, MT 59442 | 2007-02-08 |
| 1053473397 | Gary Edward Jimmerson | Chiropractor | 1309 Front St, Fort Benton, MT 59442 | 2006-12-14 |
| 1417017898 | Wanda Sue Diekhans | Counselor | 1108 Franklin, Fort Benton, MT 59442 | 2006-12-08 |
| 1174623979 | Dawn M Nelson | Physical Therapist | 1714 Front, Fort Benton, MT 59442 | 2006-09-22 |
| Find all providers in zip 59442 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780247411 | Absarokee Rural Fire District | Ambulance | 105 West B Street, Absarokee, MT 59001 | 2019-04-18 |
| 1922569227 | City of Bozeman | Ambulance | 34 N Rouse Ave, Bozeman, MT 59715-3762 | 2019-03-28 |
| 1508322256 | Clarkston Fire Service Area #6 | Ambulance | 12455 Clarkston Rd, Three Forks, MT 59752-9734 | 2019-02-19 |
| 1235610361 | Town of Stevensville | Ambulance | 206 Buck St, Stevensville, MT 59870-2021 | 2018-08-27 |
| 1679011746 | Community Beacon of Hope Inc | Ambulance | 207 West Legion St, Whitehall, MT 59759 | 2017-02-08 |
| 1437511821 | Jesse Ambulance Service LLC | Ambulance | 201 E. Holt Street, Broadus, MT 59317-0041 | 2016-03-24 |
| 1144687138 | Marion Fire District | Ambulance | 180 Gopher Ln, Marion, MT 59925 | 2016-01-21 |
| 1902282239 | Bridger Emergency Training Center LLC | Ambulance | 2110 Harnish Blvd Ste 1, Billings, MT 59101 | 2015-08-10 |
| 1447650148 | Absarokee Ambulance Service | Ambulance | 105 W. B St., Absarokee, MT 59001 | 2014-08-29 |
| 1053722678 | Red Lodge Rural Fire District 7 | Ambulance | 801 N Broadway Ave., Red Lodge, MT 59068-0318 | 2014-05-16 |
| 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.