Organization Active NPI

Hyalite Rural Fire District

  • Land Ambulance
  • Bozeman, MT
National Provider Identifier
1245821867
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
HYALITE RURAL FIRE DISTRICT
Practice address
4541 S 3Rd Rd
Bozeman, MT 59715-8002
Phone
(406) 586-3770
NPI assigned
Jan 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Chris Dahlhauser
Title
Assistant Fire Chief
Phone
(406) 586-3770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

4541 S 3Rd Rd
Bozeman, MT 59715-8002

Mailing address

4541 S 3Rd Rd
Bozeman, MT 59715-8002
Phone (406) 586-3770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220709000323 MT Part B Supplier - Ambulance Service Supplier 5092195982 Practice locations: Bozeman, MT

National Provider Directory

National Provider Directory

Locations

4541 S 3rd Rd
Bozeman, MT 59715
Phone (406) 586-3770

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1245821867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 S 3RD RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158002",
            "telephone_number": "406-586-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 S 3RD RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158002",
            "telephone_number": "406-586-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYALITE RURAL FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "DAHLHAUSER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "ASSISTANT FIRE CHIEF",
        "authorized_official_telephone_number": "406-586-3770"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.