Active NPI
Big Sandy Volunteer Fire Department
- Land Ambulance
- Big Sandy, MT
National Provider Identifier
1376583914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000065482 | Other | MT | BLUE CROSS/SHIELD |
| 065482 | Other | MT | BLUE CROSS/BLUE SHIELD |
| 1376583914 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040209001257 | MT | Part B Supplier - Ambulance Service Supplier | 8729972096 | Practice locations: Big Sandy, MT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D2324608 | Big Sandy Volunteer Fire & Ambulance | Certificate of waiver | May 27, 2027 |
National Provider Directory
National Provider DirectoryNPI 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
- Big Sandy Medical Center Inc
- Big Sandy Medical Center Inc
- Big Sandy Medical Center Inc
- Big Sandy Pharmacy Inc (Big Sandy Pharmacy)
- Big Sandy Public Schools
- Cheyenne Jae Feltz, PMHNP, APRN
- High Plains Family Health Care
- High Plains Family Healthcare, LLC
- KC Corporation (Strutz On Physical Therapy)
- KC Corporation PC
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.