Active NPI
Arlee Volunteer Fire & Ambulance Department
- Land Ambulance
- Arlee, MT
National Provider Identifier
1972542637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 121
- Legal business name
- ARLEE VOLUNTEER FIRE & AMBULANCE DEPARTMENT
- Practice address
- 20754 Hwy 93 N
Arlee, MT 59821-0254 - Phone
- (406) 726-3353
- Fax
- (406) 726-4350
- NPI assigned
- Jun 6, 2006
- Last updated
- Mar 13, 2014
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 121 | MT | Primary |
Addresses
Primary practice location
20754 Hwy 93 N
Arlee, MT 59821-0254
Mailing address
PO Box 1359
1243 Burlington Ave
Missoula, MT 59806-1359
Phone (406) 549-7104
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1502 | Other | MT | BCBS |
| 0441337 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040127001110 | MT | Part B Supplier - Ambulance Service Supplier | 6002719275 | Practice locations: Arlee, MT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394668800000",
"number": "1972542637",
"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": "20754 HWY 93 N",
"city": "ARLEE",
"state": "MT",
"postal_code": "598210254",
"telephone_number": "406-726-3353",
"fax_number": "406-726-4350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARLEE VOLUNTEER FIRE & AMBULANCE DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-06",
"last_updated": "2014-03-13",
"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": "121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1502",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0441337",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlee, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.