Kevin Russell Hayworth, EMT
Individual provider Active NPI Basic Emergency Medical Technician · Libby, MT
NPI 1497555759 · NPPES record last updated Mar 17, 2025
Key facts
- NPI
- 1497555759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Basic Emergency Medical Technician 146N00000X
- License
- 88015 (MT)
- Practice address
- 307 Montana Ave
Libby, MT 59923-2037 - Phone
- (406) 293-5582
- NPI assigned
- Mar 17, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88015 | MT | MD | Basic Emergency Medical Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health & Wellness, Inc. | Current |
Accepting new patients | |
| Libby Volunteer Ambulance Service Inc | Past |
Accepting new patients |
Locations
108 E 9th St
Ste 1
Libby, MT 59923
Phone (406) 293-3113
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 88015 | MT | Yes |
Addresses
Primary practice location
307 Montana Ave
Libby, MT 59923-2037
Mailing address
108 E 9TH St Ste 1
Libby, MT 59923-2019
Phone (406) 293-3113
Other providers in Libby, MT
- Glenne Gunther
- Nicole Desiree Haats
- Natasha Haines
- Jana M Hall
- Olivia Marie Hall
- Mark S Heppe
- Tanis Hernandez
- Home Away From Home Inc
- Carly Ann Huffman
- Amy Lea Hughes
All providers in Libby, MT · Basic Emergency Medical Technician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.