Powell County Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

043 Issued in MT

Legal business name

POWELL COUNTY AMBULANCE SERVICE INC

Practice address

1101 Texas Ave
Deer Lodge, MT 59722

Phone

(406) 846-2212

Fax

(406) 846-6039

NPI assigned

Jun 6, 2006

Last updated

May 24, 2013By 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

Locations

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1700825478",
    "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": "1101 TEXAS AVE",
            "city": "DEER LODGE",
            "state": "MT",
            "postal_code": "59722",
            "telephone_number": "406-846-2212",
            "fax_number": "406-846-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL COUNTY AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-05-24",
        "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": "043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "00124-2",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000445510",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80708400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Barry Oser, M.D.
• Haley Owens, O.D.
• Peaklife Rehab and Wellness, PLLC
• Roseanne Nicole Pearson, L.M.T.
• Performance Physical Therapy, PC
• Powell County Family Plannning
• Powell County Health Department
• Powell County High School
• Powell County Memorial Hospital Association Inc (Deer Lodge Medical Center)
• Powell County Memorial Hospital Association Inc (Deer Lodge Medical Center)

• Land Ambulance in Deer Lodge, MT
• Providers in Deer Lodge, MT by specialty
• Land Ambulance in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.