Organization Active NPI

Park Place Wheel Chair Transport

  • Non-emergency Medical Transport (VAN)
  • Great Falls, MT
National Provider Identifier
1083883490
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PARK PLACE WHEEL CHAIR TRANSPORT
Practice address
1500 32ND St S
Great Falls, MT 59405-5300
Phone
(406) 761-4300
Fax
(406) 761-8778
NPI assigned
Feb 29, 2008
Last updated
Feb 29, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
KINDRED NURSING CENTERS WESTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Jim Holcomb
Title
Executive Director
Phone
(406) 761-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1500 32ND St S
Great Falls, MT 59405-5300

Mailing address

1500 32ND St S
Great Falls, MT 59405-5300
Phone (406) 761-4300

Other identifiers 1

IdentifierTypeStateIssuer
0520312MedicaidMT

National Provider Directory

National Provider Directory
Tax ID family
Parkview Acres Care and Rehab8 organizations share this tax ID, including this one
Part of
Parkview Acres Care and Rehab

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1500 32nd St S
Great Falls, MT 59405
Phone (406) 761-4300

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1083883490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 32ND ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055300",
            "telephone_number": "406-761-4300",
            "fax_number": "406-761-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 32ND ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055300",
            "telephone_number": "406-761-4300",
            "fax_number": "406-761-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE WHEEL CHAIR TRANSPORT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINDRED NURSING CENTERS WEST",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "406-761-4300"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0520312",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.