Organization Active NPI

Absarokee Ambulance Service

  • Land Ambulance
  • Absarokee, MT
National Provider Identifier
1447650148
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
400 Issued in MT
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
202423400OtherMTMONTANA WORK COMP
0440912MedicaidMT
65062OtherMTBCBS

Other names 1

  • Absarokee Rural Vol Fire Dept Amb Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.