Jasmin Jade Dumas, EMT

Individual provider Active NPI Basic Emergency Medical Technician · Box Elder, MT

NPI 1205688769 · NPPES record last updated Apr 5, 2024

Key facts

NPI
1205688769
Entity type
Individual (NPI type 1)
Primary specialty
Basic Emergency Medical Technician 146N00000X
License
MED-EMT-LIC-132742 (MT)
Practice address
6850 Upper Box Elder Rd
Box Elder, MT 59521-9073
Phone
(406) 395-4486
NPI assigned
Apr 5, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
MED-EMR-LIC-114617MTMDBasic Emergency Medical Technician
MED-EMT-LIC-132742MTMDBasic Emergency Medical Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X MED-EMR-LIC-114617 MT
Basic Emergency Medical Technician 146N00000X MED-EMT-LIC-132742 MT Yes

Addresses

Primary practice location

6850 Upper Box Elder Rd
Box Elder, MT 59521-9073

Mailing address

612 9TH St
Havre, MT 59501-4546
Phone (719) 508-9151

Other practice location 1

612 9th St
Havre, MT 59501-4546
Phone (719) 508-9151

Other providers in Box Elder, MT

All providers in Box Elder, MT · Basic Emergency Medical Technician in Montana

Sources for this page

Verify at the official NPI Registry.