NPIMap

Organization Active NPI

Fort Belknap Emergency Medical Services

  • Taxi
  • Harlem, MT
National Provider Identifier
1104002922
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
T-05.28PCN Issued in MT
Legal business name
FORT BELKNAP EMERGENCY MEDICAL SERVICES
Practice address
RR 1 Box 67
Harlem, MT 59526-9705
Phone
(406) 549-7104
Fax
(406) 542-2785
NPI assigned
Jan 10, 2008
Last updated
Jan 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Mr. John R Ungaretti, CCEMTP
Title
General Manager
Phone
(406) 549-7104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X T-05.28PCN MT Primary

Addresses

Primary practice location

RR 1 Box 67
Harlem, MT 59526-9705

Mailing address

1008 Burlington Ave
Suite C
Missoula, MT 59801-5681
Phone (406) 549-7104

Other identifiers 1

IdentifierTypeStateIssuer
0540532MedicaidMT

National Provider Directory

National Provider Directory
Tax ID family
Crow Hospital26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1104002922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 BURLINGTON AVE",
            "address_2": "SUITE C",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015681",
            "telephone_number": "406-549-7104",
            "fax_number": "406-542-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 67",
            "city": "HARLEM",
            "state": "MT",
            "postal_code": "595269705",
            "telephone_number": "406-549-7104",
            "fax_number": "406-542-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT BELKNAP EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "UNGARETTI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "406-549-7104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CCEMTP"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "MT",
            "license": "T-05.28PCN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0540532",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlem, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.