Northeast Montana Stat Air Amublance Cooperative

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

803 Issued in MT

Legal business name

NORTHEAST MONTANA STAT AIR AMUBLANCE COOPERATIVE

Doing business as

Stat Air Ambulance

Practice address

81 Airport Rd
Glasgow, MT 59230-2842

Phone

(406) 228-4687

Fax

(406) 228-4686

NPI assigned

Jun 2, 2006

Last updated

Aug 15, 2024By 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

Mary K Tihista

Title

Administrative Assistant

Phone

(406) 228-4687

Specialties & licenses 1

Addresses

Other names 1

• STAT AIR AMBULANCE Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1235176579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 AIRPORT RD",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592302842",
            "telephone_number": "406-228-4687",
            "fax_number": "406-228-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 AIRPORT RD",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592302842",
            "telephone_number": "406-228-4687",
            "fax_number": "406-228-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST MONTANA STAT AIR AMUBLANCE COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "TIHISTA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "406-228-4687"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "MT",
            "license": "803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAT AIR AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STAT AIR AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Montana Vamc
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• Nicole Nelson, PA
• Zachary Thomas Nerdin, PA-C
• Lynnelle Nistler
• Northeastern Montana Orthopaedics
• Northern Skies Psychiatric Services, PLLC
• Michelle Ozark, FNP-C
• Alex M Page, PHARMD, RPH
• Elizabeth Renee Page, PT, DPT

• Air Ambulance in Glasgow, MT
• Providers in Glasgow, MT by specialty
• Air Ambulance in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.