Big Fork Fire and Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

172 Issued in MT

Legal business name

BIG FORK FIRE AND AMBULANCE

Practice address

810 Grand Ave
Bigfork, MT 59911-3531

Phone

(406) 837-7402

Fax

(406) 837-2521

NPI assigned

Jun 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John R Ungaretti, CCEMTP

Title

General Manager

Phone

(406) 549-7104

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Big Fork Fire and Ambulance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bigfork Fire District

  • Land Ambulance
  • Bigfork, MT
  • NPI 1134433626
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154360816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 BURLINGTON AVE STE C",
            "address_2": "PO BOX 1359",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598061359",
            "telephone_number": "406-549-7104",
            "fax_number": "406-542-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 GRAND AVE",
            "city": "BIGFORK",
            "state": "MT",
            "postal_code": "599113531",
            "telephone_number": "406-837-7402",
            "fax_number": "406-837-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG FORK FIRE AND AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UNGARETTI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "406-549-7104",
        "authorized_official_credential": "CCEMTP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MT",
            "license": "172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65172",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442153",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana E Auerhammer, LCPC
• Thomas Richard Auerhammer, LCPC
• Kyle Bagnell
• Makenzie Nicole Bagnell, DDS
• Christina E Bernier, BCBA
• Bigfork Dental Center, P.C.
• Bigfork Drug, Inc (Bigfork Drug)
• Bigfork Eye Clinic P.C.
• Bigfork Family Chiropractic LLC
• Bigfork Family Practice LLC (Bigfork Family Practice)

• Land Ambulance in Bigfork, MT
• Providers in Bigfork, MT by specialty
• Land Ambulance in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.