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

NPI Status: Active since May 02, 2006

Contact Information

102 1ST AVE SW
PARK CITY, MT
ZIP 59063
Phone: (406) 633-2345
Fax: (406) 633-2015

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 27D2102714
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 09-27-2027

About PARK CITY AMBULANCE SERVICE

This page provides the complete NPI Profile along with additional information for Park City Ambulance Service, a provider established in Park City, Montana operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1730147430 assigned on May 2006. The practitioner's primary taxonomy code is 3416L0300X with license number 105 (MT). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mr. Myron Gross (Board Director)

NPI
1730147430
Provider Name
PARK CITY AMBULANCE SERVICE
Entity Type
Organization
Location Address
102 1ST AVE SW PARK CITY, MT 59063
Location Phone
(406) 633-2345
Location Fax
(406) 633-2015
Mailing Address
PO BOX 292 PARK CITY, MT 59063
Mailing Phone
(406) 549-7104
Mailing Fax
(406) 633-2015
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2006
Last Update Date
10-24-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance Land Transport

Taxonomy Code
3416L0300X
Type
Transportation Services
License No.
105
License State
MT

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MYRON GROSS

Authorized Official Title
BOARD DIRECTOR
Authorized Official Phone
(406) 633-9898

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
65102OTHER (01)MTBCBS
0446511MEDICAID (05)MT 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
27D2102714
Facility Type
Ambulance
Certificate Effective Date
September 28, 2025
Certificate Expiration Date
September 27, 2027
Laboratory Director
DOROTHY S. ALEGRIA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Park City Ambulance Service to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1730147430, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 6 + 0 + 2 + 4 + 1 + 4 + 4 + 6 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1730147430.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730147430, enumerated as an "organization" on May 02, 2006.

The provider is located at 102 1ST AVE SW PARK CITY, MT 59063 and the phone number is (406) 633-2345.

Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.