Worden Fire Department, Inc
Organization Active NPI Land Ambulance · Worden, MT
NPI 1609921311 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1609921311
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 095 (MT)
- Legal business name
- WORDEN FIRE DEPARTMENT, INC
- Practice address
- 2463 3Rd Street
Worden, MT 59088 - Phone
- (406) 967-2114
- Fax
- (406) 967-2110
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Eileen Jeanette Jensen
- Title
- Secretary of the Board
- Phone
- (406) 967-3561
Practitioners 1
-
Joy A. Eshleman, PAC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040412001633 | MT | Part B Supplier - Ambulance Service Supplier | 5597759621 | Practice locations: Worden, MT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 095 | MT | Yes |
Addresses
Primary practice location
2463 3Rd Street
Worden, MT 59088
Mailing address
PO Box 369
Worden, MT 59088
Phone (406) 967-2114
Other names
- Worden Fire and Ambulance
Other providers in Worden, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.