41St State LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

41ST STATE LLC

Practice address

427 Lake Loop Dr
Kalispell, MT 59901-8705

Phone

(406) 866-8998

NPI assigned

Jan 15, 2024

Last updated

Mar 10, 2025By 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

Bagdasar GalstyanNPI 1619726833

Title

Owner

Phone

(406) 866-8998

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bagdasar Galstyan

  • Basic Emergency Medical Technician
  • Kalispell, MT
  • NPI 1619726833
  NPD Authorized official

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1770354060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 LAKE LOOP DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599018705",
            "telephone_number": "406-866-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 LAKE LOOP DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599018705",
            "telephone_number": "406-866-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "41ST STATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "GALSTYAN",
        "authorized_official_first_name": "BAGDASAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-866-8998"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Ambulance in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.