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PARK CITY AMBULANCE SERVICE
NPI 1730147430
Ambulance - Land Transport in Park City, MT

Active since May 02, 2006CLIA 27D2102714 · Waiver
102 1ST AVE SW, PARK CITY, MT 59063(406) 633-2345(406) 633-2015 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2018, Jul 10, 2018 (2 updates tracked since 2018).

About Park City Ambulance Service NPPES

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

PARK CITY AMBULANCE SERVICE (NPI 1730147430) is a healthcare organization registered as a land transport in Park City, Montana and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 27, 2027 and lists Myron Gross, Board Director, as its authorized official.

NPPES Registry Identity

NPI1730147430
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NamePARK CITY AMBULANCE SERVICE
Location Address102 1ST AVE SWPark City, MT 59063
Mailing AddressPo Box 292Park City, MT 59063 · (406) 549-7104 · Fax (406) 542-2785
Phone(406) 633-2345
Fax(406) 633-2015
Organization SubpartNo
Authorized OfficialMyron GrossBoard Director · (406) 633-9898
Enumeration DateMay 2, 2006
Last NPPES UpdateOctober 24, 20182 updates tracked since enumeration
✔ NPI 1730147430 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 · 105
102 1ST AVE SW, Park City, MT 59063
Open in Google Maps ↗

Other Identifiers 2

Other65102MT · Bcbs
Medicaid0446511MT

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 27D2102714

Park City Ambulance Service · Park City, MT
Active · expires Sep 27, 2027
CLIA Number27D2102714
Laboratory TypeAmbulance
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorDorothy S. Alegria
Laboratory Phone(406) 633-2015
Laboratory LocationPark City Ambulance Service110 2nd Street SW, Park City, MT 59063
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Park City Ambulance Service's NPI number?

The NPI number for Park City Ambulance Service is 1730147430. It was assigned to this organization in the NPPES registry on May 2, 2006.

Where is Park City Ambulance Service located?

Park City Ambulance Service is located at 102 1st Ave SW, Park City, MT 59063. The listed phone number is (406) 633-2345.

What is Park City Ambulance Service's specialty?

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

Does Park City Ambulance Service hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D2102714) is associated with this NPI, valid through September 27, 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 Park City Ambulance Service was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.