Seeley Lake Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

64 Issued in MT

Legal business name

SEELEY LAKE FIRE DISTRICT

Practice address

200 Fire House Lane
Seeley Lake, MT 59868

Phone

(406) 677-2400

NPI assigned

Jun 6, 2006

Last updated

Nov 5, 2012By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 3

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": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1528007291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "address_2": "1243 BURLINGTON AVE",
            "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": "200 FIRE HOUSE LANE",
            "city": "SEELEY LAKE",
            "state": "MT",
            "postal_code": "59868",
            "telephone_number": "406-677-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEELEY LAKE FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-11-05",
        "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": "64",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0441467",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1522",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA909MT",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James W Normark, RPH
• Partnership Health Center Inc. (PHC Seeley Lake)
• Providence Health & Services Mt (PMG Mt Ihi Seeley Swan)
• Michela Reese, DC
• Rejuvenate LLC
• Seeley Lake School District
• Seeley Swan Medical Clinic
• Seeley Swan Pharmacy Inc (Seeley Swan Pharmacy)
• Douglas Joel Smithson, DC PHD
• Elizabeth T Taylor Layman, LMT

• Land Ambulance in Seeley Lake, MT
• Providers in Seeley Lake, MT by specialty
• Land Ambulance in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.