Organization
MONTANA COMMUNITY AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R UNGARETTI CCEMTP (GENERAL MANAGER)
(406) 549-7104
Entity
Organization
Contact information
Practice address
816 23RD ST N, GREAT FALLS, MT 59401
(406) 452-1211
(406) 453-4281
Mailing address
1008 BURLINGTON AVE SUITE C, PO BOX 1359, MISSOULA, MT 59806-1359
(406) 549-7104
(406) 542-2785
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
151
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202889
WASHINGTON STATE WORK COM
WA
05
—
03873331
—
CO
05
—
0440113
—
MT
05
—
840555
—
AR
05
—
9056706
—
WA
Enumeration date
07/07/2006
Last updated
08/22/2020
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