Active NPI
Absarokee Ambulance Service
- Land Ambulance
- Absarokee, MT
National Provider Identifier
1447650148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 400
- Legal business name
- ABSAROKEE AMBULANCE SERVICE
- Practice address
- 105 W. B St.
Absarokee, MT 59001 - Phone
- (406) 328-4703
- NPI assigned
- Aug 29, 2014
- Last updated
- Sep 2, 2014
- 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
- Dayle Flynn, AEMT
- Title
- Director
- Phone
- (406) 290-4152
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 400 | MT | Primary |
Addresses
Primary practice location
105 W. B St.
Absarokee, MT 59001
Mailing address
PO Box 324
Absarokee, MT 59001-0324
Phone (406) 328-4703
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202423400 | Other | MT | MONTANA WORK COMP |
| 0440912 | Medicaid | MT | |
| 65062 | Other | MT | BCBS |
Other names 1
- Absarokee Rural Vol Fire Dept Amb
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409616000000",
"number": "1447650148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 324",
"city": "ABSAROKEE",
"state": "MT",
"postal_code": "590010324",
"telephone_number": "406-328-4703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W. B ST.",
"city": "ABSAROKEE",
"state": "MT",
"postal_code": "59001",
"telephone_number": "406-328-4703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABSAROKEE AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-29",
"last_updated": "2014-09-02",
"status": "A",
"authorized_official_last_name": "FLYNN",
"authorized_official_first_name": "DAYLE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "406-290-4152",
"authorized_official_credential": "AEMT"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MT",
"license": "400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MONTANA WORK COMP",
"identifier": "202423400",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0440912",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "65062",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Absarokee Rural Vol Fire Dept Amb",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Absarokee, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.