Medicab

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

9199 Issued in MT

Legal business name

MEDICAB

Practice address

3301 Park St
Missoula, MT 59801-8762

Phone

(406) 327-1510

Fax

(406) 829-0482

NPI assigned

Feb 4, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Peggy L Metivier

Title

Manager

Phone

(406) 327-1510

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174661649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1597",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598061597",
            "telephone_number": "406-327-1510",
            "fax_number": "406-829-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 PARK ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018762",
            "telephone_number": "406-327-1510",
            "fax_number": "406-829-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "METIVIER",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "406-327-1510",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MT",
            "license": "9199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540413",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520421",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Missoula, MT
• Providers in Missoula, MT by specialty
• Non-emergency Medical Transport (VAN) in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.