Beaverhead Emergency Medical Services

Primary specialty

AmbulanceTaxonomy code 341600000X

License

104 Issued in MT

Legal business name

BEAVERHEAD EMERGENCY MEDICAL SERVICES

Practice address

330 E Reeder St
Dillon, MT 59725-2777

Phone

(406) 683-2833

Fax

(406) 683-2833

NPI assigned

Jan 5, 2007

Last updated

Jun 29, 2016By 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

Jean Bergeson, J.D.

Title

Billing Manager

Phone

(406) 683-2391

Specialties & licenses 1

Addresses

Other names 1

• Beaverhead EMS Other name

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1154478618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1106",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597251106",
            "telephone_number": "406-683-2833",
            "fax_number": "406-683-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E REEDER ST",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597252777",
            "telephone_number": "406-683-2833",
            "fax_number": "406-683-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVERHEAD EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "BERGESON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "406-683-2391",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MT",
            "license": "104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaverhead EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Barrett Hospital Development Corporation (Barrett Hospital & HealthCare)
• Beaverhead Chiropractic Clinic, P.C.
• Beaverhead County Public Health (Beaverhead Family Planning)
• Beaverhead County Public Health
• Beaverhead County School District
• Danielle Kathryn Beck, FNPC
• Andrew James Belice, D.C.
• Tammy Marie Belice, LCPC
• Erika Berens, ATC, LAT
• Elaine Birdsley, SWLC

• Ambulance in Dillon, MT
• Providers in Dillon, MT by specialty
• Ambulance in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.