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GOLDEN VALLEY AMBULANCE SERVICE NPI 1679692800


NPI Information

NPI: 1679692800
Provider Name: GOLDEN VALLEY AMBULANCE SERVICE
Classification: Emergency Medical Technician, Basic - 146N00000X
Entity Type: Organization

CLIA Number: 27D2103102

Address:
104 KEMP STREET
RYEGATE, MT
ZIP 59074
Phone: (406) 568-2251
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GOLDEN VALLEY AMBULANCE SERVICE is an emergency medical technician basic in Ryegate, MT. The provider is a Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. GOLDEN VALLEY AMBULANCE SERVICE NPI is 1679692800. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

104 KEMP STREET
RYEGATE, MT
ZIP 59074
Phone: (406) 568-2251
Fax: (406) 568-2528

The provider's authorized official is Lyle Dale Burgess .
The authorized official title is Ambulance Director and has the following contact phone number (406) 568-2251.

The CLIA number assigned to this NPI record is 27D2103102 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1146N00000XEmergency Medical Technician, Basic157MONTANAYes

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: 5/5/2024

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