City of Kalispell

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

018 Issued in MT

Legal business name

CITY OF KALISPELL

Practice address

312 1St Ave E
Kalispell, MT 59901-4936

Phone

(406) 758-7760

Fax

(406) 758-7777

NPI assigned

Jun 9, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Dedman

Title

Fire Chief

Phone

(406) 758-7760

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FIRE DEPARTMENT Other name

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1730183609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1997",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599031997",
            "telephone_number": "406-758-7760",
            "fax_number": "406-758-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 1ST AVE E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014936",
            "telephone_number": "406-758-7760",
            "fax_number": "406-758-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KALISPELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "DEDMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "406-758-7760"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MT",
            "license": "018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440050",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRE DEPARTMENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yvonne S Christow, PHARM. D, RPH
• Terri L Christy, LCSW
• Chrysalis
• Bonnie Provenzano Chrysler
• Thomas Cichock
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• Clark Lab Services
• Carl Hugh Clark, M.S.
• Janet I. Clark, PT
• Clay Ross, LCPC

• Land Ambulance in Kalispell, MT
• Providers in Kalispell, 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 9, 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.