PARK CITY AMBULANCE SERVICE; NPI #1730147430

Contact Information

PARK CITY AMBULANCE SERVICE

102 1ST AVE SW
PARK CITY, MT 59063

Phone: 406-633-2345
Fax: 406-633-2015
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for PARK CITY AMBULANCE SERVICE

NPI Number 1730147430

LBN Legal business name PARK CITY AMBULANCE SERVICE

Authorized official MYRON GROSS - (BOARD DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/02/2006

Last updated 10/24/2018 - About 8 years ago

Identifiers

MT	License #	105
MT	Medicaid	0446511
MT	Other	65102	BCBS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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