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PARK PLACE WHEEL CHAIR TRANSPORT NPI 1083883490


NPI Information

NPI: 1083883490
Provider Name: PARK PLACE WHEEL CHAIR TRANSPORT
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization

CLIA Number: 27D0410092

Address:
1500 32ND ST S
GREAT FALLS, MT
ZIP 59405
Phone: (406) 761-4300
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PARK PLACE WHEEL CHAIR TRANSPORT is a non emergency medical transport van in Great Falls, MT. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. PARK PLACE WHEEL CHAIR TRANSPORT NPI is 1083883490. The provider is registered as an organization entity type.

The provider's business location address is:

1500 32ND ST S
GREAT FALLS, MT
ZIP 59405-300
Phone: (406) 761-4300
Fax: (406) 761-8778

The provider's authorized official is Jim Holcomb .
The authorized official title is Executive Director and has the following contact phone number (406) 761-4300.

The CLIA number assigned to this NPI record is 27D0410092 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/29/2008 and was last updated on 2/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10520312MEDICAIDMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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