PARK CITY AMBULANCE SERVICE (NPI# 1730147430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730147430 |
| Entity Type | Organization |
| Organization Name | PARK CITY AMBULANCE SERVICE |
| Practice Address |
102 1st Ave Sw Park City MT 59063 |
| Mailing Address |
Po Box 292 Park City MT 59063 |
| Practice Telephone | 4066332345 |
| Practice Fax Number | 4066332015 |
| Mailing Telephone | 4065497104 |
| Mailing Fax Number | 4065422785 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2018-10-24 |
| Authorized Official Name | MR. MYRON GROSS (BOARD DIRECTOR) |
| Authorized Official Telephone | 4066339898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
105 | MT | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BCBS | 65102 | 01 |
| MT | 0446511 | 05 |
| Street Address |
102 1ST AVE SW |
| City | PARK CITY |
| State | MT |
| Zip Code | 59063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932397239 | School District No 5 | Local Education Agency (LEA) | 10 2nd Ave. Sw, Park City, MT 59063-0278 | 2007-10-11 |
| 1871897736 | Maurice Camp Smith | Neurological Surgery | 32 Cemetery Rd, Park City, MT 59063-9429 | 2011-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767710 | Ability Ot LLC | Occupational Therapist | 3014 Homestead Rd, Park City, UT 84098-4835 | 2020-10-11 |
| 1093320475 | Sandra Lynn Massey | Preventive Medicine | 6652 N Scottsville St, Park City, KS 67219-1525 | 2020-09-11 |
| 1477167112 | Omnidoc Health Inc | Obstetrics & Gynecology | 351 Greenleaf St Ste E, Park City, IL 60085-5701 | 2020-09-01 |
| 1871101014 | Tms Elevated | Psychiatry & Neurology | 1790 Sun Peak Dr Ste B105, Park City, UT 84098-6625 | 2020-07-14 |
| 1790300499 | Able Care Mobile Therapy LLC | Occupational Therapist | 2546 E Ventnor St, Park City, KS 67219-1751 | 2020-06-09 |
| 1144844218 | Rebecca E Escoto | Physician Assistant | 3064 Creek Rd, Park City, UT 84098-4843 | 2020-06-03 |
| 1306460647 | Amanda Lyn Carlson | Registered Nurse | 3461 Cedar Dr, Park City, UT 84098-5499 | 2020-06-02 |
| 1730701483 | Forward Rehab | Rehabilitation Practitioner | 2100 Park Ave # 683745, Park City, UT 84060-8100 | 2020-05-15 |
| 1962024943 | Roots Pediatric Therapy | Physical Therapist | 5976 Kingsford Ave, Park City, UT 84098-6315 | 2020-05-12 |
| 1306466636 | Mountain Moments | Clinic/Center | 1154 Center Dr Ste D250, Park City, UT 84098-1258 | 2020-04-16 |
| Find all providers in PARK CITY | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164451985 | County of Summit | Ambulance | 736 Bitner Rd, Park City, UT 84098-5432 | 2006-07-02 |
| 1144250531 | County of Summit | Ambulance | 736 Bitner Rd, Park City, UT 84098-5432 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780247411 | Absarokee Rural Fire District | Ambulance | 105 West B Street, Absarokee, MT 59001 | 2019-04-18 |
| 1922569227 | City of Bozeman | Ambulance | 34 N Rouse Ave, Bozeman, MT 59715-3762 | 2019-03-28 |
| 1508322256 | Clarkston Fire Service Area #6 | Ambulance | 12455 Clarkston Rd, Three Forks, MT 59752-9734 | 2019-02-19 |
| 1235610361 | Town of Stevensville | Ambulance | 206 Buck St, Stevensville, MT 59870-2021 | 2018-08-27 |
| 1679011746 | Community Beacon of Hope Inc | Ambulance | 207 West Legion St, Whitehall, MT 59759 | 2017-02-08 |
| 1437511821 | Jesse Ambulance Service LLC | Ambulance | 201 E. Holt Street, Broadus, MT 59317-0041 | 2016-03-24 |
| 1144687138 | Marion Fire District | Ambulance | 180 Gopher Ln, Marion, MT 59925 | 2016-01-21 |
| 1902282239 | Bridger Emergency Training Center LLC | Ambulance | 2110 Harnish Blvd Ste 1, Billings, MT 59101 | 2015-08-10 |
| 1447650148 | Absarokee Ambulance Service | Ambulance | 105 W. B St., Absarokee, MT 59001 | 2014-08-29 |
| 1053722678 | Red Lodge Rural Fire District 7 | Ambulance | 801 N Broadway Ave., Red Lodge, MT 59068-0318 | 2014-05-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.