Town of West Yellowstone EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

110 Issued in MT

Legal business name

TOWN OF WEST YELLOWSTONE EMS

Practice address

400 Yellowstone Ave
West Yellowstone, MT 59758

Phone

(406) 646-9094

Fax

(406) 646-7511

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Mary Phillips

Title

Mayor Town of West Yellowstone

Phone

(406) 646-7795

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447364625",
    "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": "59801",
            "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": "400 YELLOWSTONE AVE",
            "city": "WEST YELLOWSTONE",
            "state": "MT",
            "postal_code": "59758",
            "telephone_number": "406-646-9094",
            "fax_number": "406-646-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WEST YELLOWSTONE EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MAYOR TOWN OF WEST YELLOWSTONE",
        "authorized_official_telephone_number": "406-646-7795"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MT",
            "license": "110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0441031",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65252",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlie E Nachtigal, LMT
• Parkside Physical Therapy, LLC
• Rocky Mountain Holdings, LLC (Air Idaho Rescue)
• Silvertip Pharmacy Inc (Silvertip Pharmacy)
• Emma Jane Sparboe, DNP, FNP
• West Yellowstone Back & Neck Clinic
• West Yellowstone Dental
• Yellowstone Family Medical Center Inc

• Land Ambulance in West Yellowstone, MT
• Providers in West Yellowstone, MT by specialty
• Land Ambulance 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.