Organization Active NPI

Arlee Volunteer Fire & Ambulance Department

  • Land Ambulance
  • Arlee, MT
National Provider Identifier
1972542637
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
121 Issued in MT
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1502OtherMTBCBS
0441337MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040127001110 MT Part B Supplier - Ambulance Service Supplier 6002719275 Practice locations: Arlee, MT

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.