Montana Medical Transport, LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

174 Issued in MT

Legal business name

MONTANA MEDICAL TRANSPORT, LLC

Practice address

2430 Airport Rd Ste 2
Helena, MT 59601-1234

Phone

(406) 442-2190

Fax

(406) 442-2199

NPI assigned

Jun 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John J Maxness

Title

Member

Phone

(406) 442-2190

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1497781843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 AIRPORT RD STE 2",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596011234",
            "telephone_number": "406-442-2190",
            "fax_number": "406-442-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 AIRPORT RD STE 2",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596011234",
            "telephone_number": "406-442-2190",
            "fax_number": "406-442-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "MAXNESS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "406-442-2190"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MT",
            "license": "174",
            "primary": true
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "MT",
            "license": "807",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442119",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Helena, MT
• Ambulance in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.