NPIMap

Organization Active NPI

Montana Community Ambulance

  • Land Ambulance
  • Great Falls, MT
National Provider Identifier
1285666446
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
151 Issued in MT
Legal business name
MONTANA COMMUNITY AMBULANCE
Practice address
816 23Rd St N
Great Falls, MT 59401
Phone
(406) 452-1211
Fax
(406) 453-4281
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 151 MT Primary

Addresses

Primary practice location

816 23Rd St N
Great Falls, MT 59401

Mailing address

1008 Burlington Ave Suite C
PO Box 1359
Missoula, MT 59806-1359
Phone (406) 549-7104

Other identifiers 5

IdentifierTypeStateIssuer
840555MedicaidAR
0440113MedicaidMT
0202889OtherWAWASHINGTON STATE WORK COM
9056706MedicaidWA
03873331MedicaidCO

National Provider Directory

National Provider Directory

Locations

816 23rd St N
Great Falls, MT 59401
Phone (406) 452-1211

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285666446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 BURLINGTON AVE SUITE C",
            "address_2": "PO BOX 1359",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598061359",
            "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": "816 23RD ST N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "59401",
            "telephone_number": "406-452-1211",
            "fax_number": "406-453-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA COMMUNITY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "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_credential": "CCEMTP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MT",
            "license": "151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "840555",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440113",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE WORK COM",
            "identifier": "0202889",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9056706",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03873331",
            "state": "CO"
        }
    ],
    "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 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.