MEMORIAL AMBULANCE SERVICE
NPI 1932167640
Ambulance - Land Transport in Fort Benton, MT

Q: What is Memorial Ambulance Of Fort Benton Montana's specialty?

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

Active since May 02, 2006CLIA 27D2102214 · Waiver

810 15TH ST, FORT BENTON, MT 59442(406) 622-3400(406) 622-4255 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Memorial Ambulance Service NPPES

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

MEMORIAL AMBULANCE SERVICE (NPI 1932167640) is a healthcare organization registered as a land transport in Fort Benton, Montana and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 16, 2027 and lists Amber L Hurt, Service Manager, as its authorized official.

NPPES Registry Identity

NPI1932167640

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameMEMORIAL AMBULANCE OF FORT BENTON MONTANA

Location Address810 15TH STFort Benton, MT 59442-8993

Mailing AddressPo Box 2458Eureka, MT 59917-2458 · (406) 297-1627 · Fax (855) 574-5392

Phone(406) 622-3400

Fax(406) 622-4255

Organization SubpartNo

Authorized OfficialAmber L HurtService Manager · (406) 301-4288

Enumeration DateMay 2, 2006

Last NPPES UpdateDecember 7, 2021

NPPES CertifiedDecember 7, 2021

✔ NPI 1932167640 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 · 14

810 15TH ST, Fort Benton, MT 59442

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Other Names 1

Other NameMemorial Ambulance Service

Other Identifiers 2

Medicaid0445068MT

Other1352MT · Bc/bs

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 27D2102214

Memorial Ambulance Of Fort Benton · Fort Benton, MT

Active · expires Sep 16, 2027

CLIA Number27D2102214

Laboratory TypeAmbulance

Certificate Effective DateSeptember 17, 2025

Certificate Expiration DateSeptember 16, 2027

Laboratory DirectorMr. Michael I. Birkeland

Laboratory Phone(406) 899-8155

Laboratory LocationMemorial Ambulance Of Fort Benton810 15th St, Fort Benton, MT 59442

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.

2,089 services55 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.

47 services39 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.

24 services21 patients

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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 Memorial Ambulance Of Fort Benton Montana's NPI number?

The NPI number for Memorial Ambulance Of Fort Benton Montana is 1932167640. It was assigned to this organization in the NPPES registry on May 2, 2006. The provider is also known as Memorial Ambulance Service.

Where is Memorial Ambulance Of Fort Benton Montana located?

Memorial Ambulance Of Fort Benton Montana is located at 810 15th St, Fort Benton, MT 59442. The listed phone number is (406) 622-3400.

What is Memorial Ambulance Of Fort Benton Montana's specialty?

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

Does Memorial Ambulance Of Fort Benton Montana hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D2102214) is associated with this NPI, valid through September 16, 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 Memorial Ambulance Of Fort Benton Montana was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.