Denton Ambulance Service, Inc
Organization Active NPI Land Ambulance · Denton, MT
NPI 1609932698 · NPPES record last updated Mar 21, 2025
Key facts
- NPI
- 1609932698
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 44 (MT)
- Legal business name
- DENTON AMBULANCE SERVICE, INC
- Practice address
- 401 Main Street
Denton, MT 59430-0446 - Phone
- (406) 366-1780
- NPI assigned
- Dec 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Lorinda D Edwards
- Title
- Authorized Official
- Phone
- (406) 366-1780
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D2105147 | Denton Ambulance Service, Inc | Certificate of waiver | Nov 17, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040209001213 | MT | Part B Supplier - Ambulance Service Supplier | 0244124519 | Practice locations: Denton, MT |
National Provider Directory
Locations
401 Main Ave
Denton, MT 59430
Phone (406) 366-1780
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 44 | MT | Yes |
Addresses
Primary practice location
401 Main Street
Denton, MT 59430-0446
Mailing address
3208 Augusta Dr
Bozeman, MT 59715-8793
Phone (406) 366-1780
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00329960 | Other | MT | RAILROAD CARRIER |
| 1462 | Other | MT | BLUECROSS BLUESHIELD |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.