Organization Name: | POWELL COUNTY AMBULANCE SERVICE INC |
NPI Number: | 1700825478 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN R UNGARETTI (GENERAL MANAGER) |
Mailing Address: | 1101 Texas Ave Deer Lodge |
State: | MT US |
Postal Code: | 59722 |
Phone Number: | 4068462212 |
Fax Number: | 4068466039 |
NPI Enumeration Date: | 06/06/2006 |
NPI Last Update Date: | 05/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 043 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |