Active NPI
American Medical Response Ambulance Service Inc
Doing business as American Medical Response
- Ambulance
- Bozeman, MT
National Provider Identifier
1639198658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE INC
- Doing business as
- American Medical Response
- Practice address
- 2101 Industrial Dr
Bozeman, MT 59715-2243 - Phone
- (406) 586-0037
- NPI assigned
- Jul 19, 2006
- Last updated
- Sep 15, 2025
- 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
- Timothy Joseph Dorn
- Title
- Chief Administrative Officer
- Phone
- (833) 703-2294
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary | ||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
2101 Industrial Dr
Bozeman, MT 59715-2243
Mailing address
PO Box 749667
Los Angeles, CA 90074-9667
Phone (800) 913-9106
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0203021 | Medicaid | MT | |
| 243452100 | Medicaid | WY | |
| 500697724 | Medicaid | OR | |
| 2142572 | Medicaid | WA |
Other names 1
- American Medical Response
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040129000925 | MT | Part B Supplier - Ambulance Service Supplier | 8729992615 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Billings, MT; Bozeman, MT |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba American Medical Response (AMR)
- Ambulance
- Billings, MT
- NPI 1912932856
O20040129000925
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D0890098 | American Medical Response | Certificate of waiver | Aug 11, 2026 |
National Provider Directory
National Provider DirectoryLocations
2101 Industrial Dr
Bozeman, MT 59715
Phone (406) 586-0037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757894400000",
"number": "1639198658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749667",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900749667",
"telephone_number": "800-913-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 INDUSTRIAL DR",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597152243",
"telephone_number": "406-586-0037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A",
"authorized_official_last_name": "DORN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "833-703-2294"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0203021",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "243452100",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500697724",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2142572",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "American Medical Response",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "American Medical Response",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.