Provider Demographics
NPI:1922145473
Name:NORTH VALLEY EMERGENCY MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:NORTH VALLEY EMERGENCY MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:R
Authorized Official - Last Name:ST. JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-762-3430
Mailing Address - Street 1:PO BOX 1359
Mailing Address - Street 2:1243 BURLINGTON AVE
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59806-1359
Mailing Address - Country:US
Mailing Address - Phone:888-850-4574
Mailing Address - Fax:406-524-2785
Practice Address - Street 1:123 MAIN STREET
Practice Address - Street 2:142
Practice Address - City:OPHEIM
Practice Address - State:MT
Practice Address - Zip Code:59250-0142
Practice Address - Country:US
Practice Address - Phone:406-724-3484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT0623416L0300X
MT623416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
590005487OtherRAILROAD MEDIC
MT0440895Medicaid
MT0440946Medicaid
001892OtherBCBS
590005487OtherRAILROAD MEDIC
MTM000002298Medicare UPIN