Organization Active NPI

Hebgen Basin Fire District

  • Ambulance
  • West Yellowstone, MT
National Provider Identifier
1417184086
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
509 Issued in MT
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

Updated by the provider on Jun 22, 2009

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20090701000418 MT Part B Supplier - Ambulance Service Supplier 1658422761 Practice locations: West Yellowstone, MT

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.