Organization
MISSION VALLEY AMBULANCE
Active
Organization
MISSION VALLEY AMBULANCE
Active
Other names
Mission Valley Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTA UMPHREY EMT (DIRECTOR)
(406) 745-4190
Entity
Organization
Contact information
Practice address
32 FIRST AVE, ST IGNATIUS, MT 59865
(406) 745-4190
(406) 745-2757
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
88
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442013
—
MT
01
—
329880700
OWCP WORKERS COMP
MT
01
—
65012
BCBS
MT
Enumeration date
05/25/2006
Last updated
07/11/2014
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