City of Laurel
Organization Active NPI Land Ambulance · Laurel, MT
NPI 1639253446 · NPPES record last updated Jul 31, 2009
Key facts
- NPI
- 1639253446
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 020 (MT)
- Legal business name
- CITY OF LAUREL
- Practice address
- 115 W 1St St
Laurel, MT 59044-3001 - Phone
- (406) 628-7431
- Fax
- (406) 628-2289
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Kenneth E Olson Jr.
- Title
- Mayor
- Phone
- (406) 628-8456
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040223001322 | MT | Part B Supplier - Ambulance Service Supplier | 1951297324 | Practice locations: Laurel, MT |
National Provider Directory
Locations
115 W 1st St
Laurel, MT 59044
Phone (406) 628-7431
215 W 1st St
Laurel, MT 59044
Phone (406) 628-1611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 020 | MT | Yes |
Addresses
Primary practice location
115 W 1St St
Laurel, MT 59044-3001
Mailing address
PO Box 10
Laurel, MT 59044-0010
Phone (406) 628-7431
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01472 | Other | MT | BLUE CROSS BLUE SHIELD |
| 044-4626 | Medicaid | MT |
Other providers in Laurel, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2009. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.