Organization Name: | MISSION VALLEY AMBULANCE |
NPI Number: | 1780630616 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTA UMPHREY (DIRECTOR) |
Mailing Address: | 32 First Ave St Ignatius |
State: | MT US |
Postal Code: | 59865 |
Phone Number: | 4067454190 |
Fax Number: | 4067452757 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 07/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 88 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |