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POLSON AMBULANCE, INC.
NPI 1558300228
Ambulance - Land Transport in Polson, MT

Active since June 06, 2006CLIA 27D2208985 · Waiver
904 2ND ST E, POLSON, MT 59860(406) 883-5778(406) 883-9433 Get Directions Write a Review

NPPES record last updated: July 2, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Polson Ambulance, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POLSON AMBULANCE, INC. (NPI 1558300228) is a healthcare organization registered as a land transport in Polson, Montana and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 10, 2027 and lists John R Ungaretti, General Manager, as its authorized official.

NPPES Registry Identity

NPI1558300228
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NamePOLSON AMBULANCE, INC.
Location Address904 2ND ST EPolson, MT 59860-3031
Mailing Address1008 Burlington Ave Ste C, Po Box 1359Missoula, MT 59806-1359 · (406) 549-7104 · Fax (406) 542-2785
Phone(406) 883-5778
Fax(406) 883-9433
Organization SubpartNo
Authorized OfficialJohn R UngarettiGeneral Manager · (406) 549-7104
Enumeration DateJune 6, 2006
Last NPPES UpdateJuly 2, 2014
✔ NPI 1558300228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in MT · 158
904 2ND ST E, Polson, MT 59860
Open in Google Maps ↗

Other Identifiers 7

Medicare ID-Type Unspecified590010428MT · Railroad Medicare
Medicaid206313OR
Medicaid002244000ID
Medicaid9040866WA
Other1402MT · Bcbs
Medicaid0443274MT
Medicare ID-Type Unspecified000020015MT

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D2208985

Polson Ambulance Inc · Polson, MT
Active · expires Jan 10, 2027
CLIA Number27D2208985
Laboratory TypeAmbulance
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorGreg Sheumaker
Laboratory Phone(406) 883-5778
Laboratory LocationPolson Ambulance Inc904 2nd St E, Polson, MT 59860
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
15,975 services447 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
286 services201 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
212 services186 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
116 services114 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
72 services72 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Polson Ambulance, Inc.'s NPI number?

The NPI number for Polson Ambulance, Inc. is 1558300228. It was assigned to this organization in the NPPES registry on June 6, 2006.

Where is Polson Ambulance, Inc. located?

Polson Ambulance, Inc. is located at 904 2nd St E, Polson, MT 59860. The listed phone number is (406) 883-5778.

What is Polson Ambulance, Inc.'s specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Polson Ambulance, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D2208985) is associated with this NPI, valid through January 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Polson Ambulance, Inc. was last updated on July 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.