Mission Valley Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

88 Issued in MT

Legal business name

MISSION VALLEY AMBULANCE

Doing business as

Mission Valley Ambulance

Practice address

32 First Ave
St Ignatius, MT 59865

Phone

(406) 745-4190

Fax

(406) 745-2757

NPI assigned

May 25, 2006

Last updated

Jul 11, 2014By 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

Ms. Christa Umphrey, EMT

Title

Director

Phone

(406) 745-4190

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Mission Valley Ambulance Doing business as

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1780630616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "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": "32 FIRST AVE",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "59865",
            "telephone_number": "406-745-4190",
            "fax_number": "406-745-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION VALLEY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "UMPHREY",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "406-745-4190",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MT",
            "license": "88",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442013",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP WORKERS COMP",
            "identifier": "329880700",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65012",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Valley Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Meyer
• Manuel Miller, RD
• Millpond Home
• Mission Drug LLC (Mission Drug)
• Mission Mountains Osteopathy
• Mission Valley Health Clinic, Incorporated
• Mission Valley Speech Therapy,LLC
• Gena Montoya
• Brenda Morton, RN
• Wendy Musser, RN

• Land Ambulance in St Ignatius, MT
• Providers in St Ignatius, MT by specialty
• Land Ambulance in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.