Golden Valley Ambulance Service

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

157 Issued in MT

Legal business name

GOLDEN VALLEY AMBULANCE SERVICE

Practice address

104 Kemp Street
Ryegate, MT 59074

Phone

(406) 568-2251

Fax

(406) 568-2528

NPI assigned

Mar 28, 2007

Last updated

Aug 22, 2020By 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

Mr. Lyle Dale Burgess, EMT-B

Title

Ambulance Director

Phone

(406) 568-2251

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679692800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 KEMP STREET",
            "address_2": "P.O. BOX 55",
            "city": "RYEGATE",
            "state": "MT",
            "postal_code": "59074",
            "telephone_number": "406-568-2251",
            "fax_number": "406-568-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 KEMP STREET",
            "city": "RYEGATE",
            "state": "MT",
            "postal_code": "59074",
            "telephone_number": "406-568-2251",
            "fax_number": "406-568-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VALLEY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "AMBULANCE DIRECTOR",
        "authorized_official_telephone_number": "406-568-2251",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-B"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MT",
            "license": "157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Golden Valley Office of Clerk & Recorder (Golden Valley Ambulance Service)
• Lesley Hooper

• Basic Emergency Medical Technician in Ryegate, MT
• Providers in Ryegate, MT by specialty
• Basic Emergency Medical Technician 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.