JESSE AMBULANCE SERVICE (NPI# 1952550535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952550535 |
| Entity Type | Organization |
| Organization Name | JESSE AMBULANCE SERVICE |
| Other Organization Name | BROADUS TRUCK & SUPPLY |
| Practice Address |
201 East Holt Street Broadus MT 59317-0000 |
| Mailing Address |
Po Box 236 Broadus MT 59317-0236 |
| Practice Telephone | 4064362225 |
| Practice Fax Number | 4064362033 |
| Mailing Telephone | 4064362225 |
| Mailing Fax Number | 4064362033 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |
| Authorized Official Name | CINDY L. GRAFF (EMS DIRECTOR) |
| Authorized Official Telephone | 4064362225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 103 | MT | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 446654 | 05 | |
| MT | BLUE CROSS BLUE SHIELD OF MT | 0000065042 | 01 |
| Other Name | Type Code |
|---|---|
| Broadus Truck & Supply | Doing Business As Name - Organization |
| Street Address |
201 EAST HOLT STREET |
| City | BROADUS |
| State | MT |
| Zip Code | 59317-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902429442 | The Body Shop Physical Therapy | Clinic/Center | 117 East Wilson Avenue, Broadus, MT 59317 | 2020-05-19 |
| 1801234141 | Powder River County | Clinic/Center | 104 North Trautman, Broadus, MT 59317 | 2013-06-10 |
| 1760768873 | Jami Jo Schroeder | Pharmacist | 120 S Park Ave, Broadus, MT 59317 | 2011-11-02 |
| 1316953102 | Larry's Iga Pharmacy | Pharmacy | 120 S. Park Street, Broadus, MT 59317 | 2006-07-31 |
| 1437511821 | Jesse Ambulance Service LLC | Ambulance | 201 E. Holt Street, Broadus, MT 59317-0041 | 2016-03-24 |
| 1629274998 | Powder River County | Public Health or Welfare | 507 N Lincoln, Broadus, MT 59317-0210 | 2007-06-25 |
| 1376606517 | Powder River Publichealth | Registered Nurse | 507 N. Lincoln, Broadus, MT 59317-0210 | 2006-12-19 |
| 1396052379 | Jaci 'k' Jean Phillips | Nurse Practitioner | 507 North Lincoln Avenue, Broadus, MT 59317-0489 | 2010-09-11 |
| 1265605398 | Eastern Montana Health Company | Clinic/Center | 507 North Lincoln Ave, Box 489, Broadus, MT 59317-0489 | 2008-04-09 |
| 1083245393 | Patrick D Flanigan | Nurse Practitioner | 507 North Lincoln Ave, Broadus, MT 59317-0489 | 2020-01-27 |
| Find all providers in zip 59317 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918243 | Northern Rockies Medical Center, Inc | Ambulance | 805 3rd St Se, Cut Bank, MT 59427-3543 | 2020-10-01 |
| 1134601743 | City of Missoula | Ambulance | 625 E Pine St, Missoula, MT 59802-4633 | 2018-08-30 |
| 1154788834 | Partners United for Life Saving Education | Ambulance | 6 N. Brooke Street, 121 W Legion, Whitehall, MT 59759 | 2016-01-26 |
| 1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
| 1720350077 | Pure Medical Inc | Ambulance | 5515 Bonanza Pl, Missoula, MT 59808-9386 | 2012-02-02 |
| 1205140241 | Western Medical Transport | Ambulance | 426 S 12th St, Livingston, MT 59047-3323 | 2010-08-02 |
| 1396066809 | West Valley Rural Fire District | Ambulance | 2142 Farm To Market Road, Kalispell, MT 59901 | 2010-06-18 |
| 1417184086 | Hebgen Basin Fire District | Ambulance | 410 S Faithful, West Yellowstone, MT 59758 | 2009-06-22 |
| 1184860660 | Blackfoot Ems, Inc. | Ambulance | 2430 Highway 83, Seeley Lake, MT 59868 | 2009-01-05 |
| 1487868063 | Lincoln Volunteer Ambulance Service Corporation | Ambulance | 114 Stemple Pass Road, #455, Lincoln, MT 59639-0455 | 2007-05-10 |
| 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.