County of Blaine Montana

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COUNTY OF BLAINE MONTANA

Doing business as

Blaine County Ambulance

Practice address

420 Ohio St
Chinook, MT 59523-0278

Phone

(406) 357-3240

Fax

(460) 357-2199

NPI assigned

Dec 21, 2006

Last updated

Jan 25, 2019By 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

Tammy Williams

Title

Clerk & Recorder

Phone

(406) 357-3240

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Blaine County Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Blaine

  dba Blaine County Health Dept.

  • State or Local Public Health Clinic/Center
  • Chinook, MT
  • NPI 1881811693

  6608760764

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Blaine County

  dba Blaine County Ambulance III

  • Land Ambulance
  • Harlem, MT
  • NPI 1750419123

  O20040210000540

  Same enrollment

Tax ID family

County of Blaine Montana2 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.

• Blaine County

  dba Blaine County Ambulance II

  • Land Ambulance
  • Turner, MT
  • NPI 1134257363
  NPD tax ID

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1366506370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "CHINOOK",
            "state": "MT",
            "postal_code": "595230278",
            "telephone_number": "406-357-3240",
            "fax_number": "406-357-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 OHIO ST",
            "city": "CHINOOK",
            "state": "MT",
            "postal_code": "595230278",
            "telephone_number": "406-357-3240",
            "fax_number": "460-357-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF BLAINE MONTANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CLERK & RECORDER",
        "authorized_official_telephone_number": "406-357-3240"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01622",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "590059073",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444886",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "M000002274",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blaine County Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blaine County Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chinook Eye Center, LLC
• Chinook Pharmacy Inc (Chinook Pharmacy)
• Stephanie Jo Christman
• Colors in Life, Inc.
• County of Blaine (Blaine County Health Dept.)
• Kelcey John Diemert, RPH
• Nancy Diemert, RPH
• Eggleston Therapy LLC (Hi-Line Pediatric Therapy)
• Johanna Eggleston, OTR/L
• Tammy Sue Ellison, L.AC.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.