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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