Organization
COLUMBUS AMBULANCE SERVICE
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
134 6TH AVE N, COLUMBUS, MT 59019
(406) 322-5215
Mailing address
PO BOX 1359, 1008 BURLINGTON AVE STE C, MISSOULA, MT 59806-1359
(406) 549-7104
(406) 542-2785
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
101
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0444002
—
MT
01
—
65112
BLUE CROSS BLUE SHIELD
MT
Enumeration date
06/06/2006
Last updated
08/22/2020
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