Active NPI
Hebgen Basin Fire District
- Ambulance
- West Yellowstone, MT
National Provider Identifier
1417184086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 509
- Legal business name
- HEBGEN BASIN FIRE DISTRICT
- Practice address
- 410 S Faithful
West Yellowstone, MT 59758 - Phone
- (406) 646-9094
- Fax
- (406) 646-9090
- NPI assigned
- Jun 22, 2009
- 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
- Patti Austin
- Title
- Administrative Assistant
- Phone
- (406) 646-9094
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 509 | MT | Primary |
Addresses
Primary practice location
410 S Faithful
West Yellowstone, MT 59758
Mailing address
PO Box 1508
West Yellowstone, MT 59758-1508
Phone (406) 646-9094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090701000418 | MT | Part B Supplier - Ambulance Service Supplier | 1658422761 | Practice locations: West Yellowstone, MT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245628800000",
"number": "1417184086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1508",
"city": "WEST YELLOWSTONE",
"state": "MT",
"postal_code": "597581508",
"telephone_number": "406-646-9094",
"fax_number": "406-646-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 S FAITHFUL",
"city": "WEST YELLOWSTONE",
"state": "MT",
"postal_code": "59758",
"telephone_number": "406-646-9094",
"fax_number": "406-646-9090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEBGEN BASIN FIRE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-22",
"last_updated": "2009-06-22",
"status": "A",
"authorized_official_last_name": "AUSTIN",
"authorized_official_first_name": "PATTI",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "406-646-9094"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MT",
"license": "509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Yellowstone, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.