Organization
MISSOULA EMERGENCY SERVICES INC
Active
Other names
Missoula Emergency Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R UNGARETTI CCEMTP (GENERAL MANAGER)
(406) 549-7104
Entity
Organization
Contact information
Practice address
1200 BURLINGTON AVE, MISSOULA, MT 59801
(406) 549-2325
(406) 549-6495
Mailing address
PO BOX 1359, MISSOULA, MT 59806-1359
(406) 549-7104
(406) 542-2785
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
60
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000065302
BC/BS MT
MT
05
—
002243500
—
ID
05
—
0442936
—
MT
05
—
1200275009037698
—
WY
05
—
206300
—
OR
01
—
224726
BLUE SHIELD OF PA
PA
05
—
9011140
—
SD
05
—
9037698
—
WA
Enumeration date
06/06/2006
Last updated
07/07/2009
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