City of Great Falls

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF GREAT FALLS

Practice address

105 9TH St S
Great Falls, MT 59401-3715

Phone

(406) 870-0860

NPI assigned

Mar 24, 2022

Last updated

Jan 12, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

CITY OF GREAT FALLSAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeremy Dale Virts

Title

Deputy Chief of EMS

Phone

(406) 791-8974

Specialties & licenses 1

Addresses

Other names 1

• Great Falls Fire Rescue Other name

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Great Falls Fire Rescue

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1033869987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2458",
            "city": "EUREKA",
            "state": "MT",
            "postal_code": "599172458",
            "telephone_number": "406-870-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 9TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013715",
            "telephone_number": "406-870-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GREAT FALLS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF GREAT FALLS",
        "enumeration_date": "2022-03-24",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "VIRTS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "DEPUTY CHIEF OF EMS",
        "authorized_official_telephone_number": "406-791-8974"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Falls Fire Rescue",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexander N Chung, M.D.
• Shayna Chupein, LCSW
• Mary M Churchill-Lewis, OT/L, CHT
• Nicholas James Ciafardone, ADDICTION COUNSELOR
• Heather Rae Cirilli
• Roberta Sue Cladouhos-Powell, LCPC
• Alyssa Clark
• Belinda Clark, LMT, BCTMB
• Brook Elizabeth Clark, PH.D.
• Richard Lee Clark, CPO

• Land Ambulance in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Land Ambulance in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.