1033341318 NPI number — BELT VOLUNTEER AMBULANCE SERVICE

Table of content: (NPI 1033341318)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033341318 NPI number — BELT VOLUNTEER AMBULANCE SERVICE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BELT VOLUNTEER AMBULANCE SERVICE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033341318
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/20/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 74
Provider Second Line Business Mailing Address:
11 BRIDGE ST
Provider Business Mailing Address City Name:
BELT
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59412-0074
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-277-3642
Provider Business Mailing Address Fax Number:
406-277-3642

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1243 BURLINGTON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MISSOULA
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59801-5640
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-850-4574
Provider Business Practice Location Address Fax Number:
406-542-2785
Provider Enumeration Date:
08/20/2009

Additional Information

Authorized Official

Authorized Official Last Name:
CANTLEY
Authorized Official First Name:
EUGENE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
406-277-3642

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  96 , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com