Lincoln Volunteer Ambulance Service Corporation

Primary specialty

AmbulanceTaxonomy code 341600000X

License

75 Issued in MT

Legal business name

LINCOLN VOLUNTEER AMBULANCE SERVICE CORPORATION

Practice address

114 Stemple Pass Road
#455
Lincoln, MT 59639-0455

Phone

(406) 362-4313

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lauran Marie Nicolai

Title

Secretary

Phone

(406) 362-4313

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487868063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STEMPLE PASS ROAD",
            "address_2": "PO BOX 455",
            "city": "LINCOLN",
            "state": "MT",
            "postal_code": "596390455",
            "telephone_number": "406-362-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 STEMPLE PASS ROAD",
            "address_2": "#455",
            "city": "LINCOLN",
            "state": "MT",
            "postal_code": "596390455",
            "telephone_number": "406-362-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN VOLUNTEER AMBULANCE SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICOLAI",
        "authorized_official_first_name": "LAURAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "406-362-4313",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MT",
            "license": "75",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44-1220",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blackfoot Valley Medical Services Corporation
• Leonard Blinder, M.D.
• Pureview Health Center
• Lanna Nixie Zobel, DNP, NP-BC

• All providers in Lincoln, MT
• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.