Organization Active NPI

Big Sandy Volunteer Fire Department

  • Land Ambulance
  • Big Sandy, MT
National Provider Identifier
1376583914
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
BIG SANDY VOLUNTEER FIRE DEPARTMENT
Practice address
258 Judith Landing Road
Big Sandy, MT 59520-0157
Phone
(406) 378-2188
Fax
(406) 378-2180
NPI assigned
Jun 8, 2006
Last updated
Jan 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Pete Jerrel
Title
Board Member
Phone
(406) 868-9932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X MT Primary

Addresses

Primary practice location

258 Judith Landing Road
Big Sandy, MT 59520-0157

Mailing address

PO Box 157
Big Sandy, MT 59520-0157
Phone (406) 378-2188

Other identifiers 3

IdentifierTypeStateIssuer
0000065482OtherMTBLUE CROSS/SHIELD
065482OtherMTBLUE CROSS/BLUE SHIELD
1376583914MedicaidMT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209001257 MT Part B Supplier - Ambulance Service Supplier 8729972096 Practice locations: Big Sandy, MT

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2324608Big Sandy Volunteer Fire & Ambulance258 Judith Landing Rd, Big Sandy, MT 59520Certificate of waiverMay 27, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1376583914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "BIG SANDY",
            "state": "MT",
            "postal_code": "595200157",
            "telephone_number": "406-378-2188",
            "fax_number": "406-378-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 JUDITH LANDING ROAD",
            "city": "BIG SANDY",
            "state": "MT",
            "postal_code": "595200157",
            "telephone_number": "406-378-2188",
            "fax_number": "406-378-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SANDY VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "JERREL",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "406-868-9932"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "0000065482",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "065482",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376583914",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Sandy, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.