Phillips County

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

058 Issued in MT

Legal business name

PHILLIPS COUNTY

Practice address

314 S 2ND W
Malta, MT 59538

Phone

(406) 654-2336

Fax

(406) 654-2940

NPI assigned

Jun 6, 2006

Organization subpart

No

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

Authorized official

Name

Riley Samuel John Abrahamson, NREMT

Title

Board Member / Nremt

Phone

(406) 654-2336

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 2

• PHILLIPS COUNTY AMBULANCE SERVICE Doing business as
• PHILLIPS COUNTY EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Phillips County

  • Public Health or Welfare Agency
  • Malta, MT
  • NPI 1033240320

  3375446545

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Phillips County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Phillips County

  • Public Health or Welfare Agency
  • Malta, MT
  • NPI 1033240320
  NPD tax ID

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1699714352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "MALTA",
            "state": "MT",
            "postal_code": "595380289",
            "telephone_number": "406-654-2336",
            "fax_number": "406-654-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S 2ND W",
            "city": "MALTA",
            "state": "MT",
            "postal_code": "59538",
            "telephone_number": "406-654-2336",
            "fax_number": "406-654-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "ABRAHAMSON",
        "authorized_official_first_name": "RILEY",
        "authorized_official_middle_name": "SAMUEL JOHN",
        "authorized_official_title_or_position": "BOARD MEMBER / NREMT",
        "authorized_official_telephone_number": "406-654-2336",
        "authorized_official_credential": "NREMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MT",
            "license": "058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0447720",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1672",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9011070",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9047630",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD MEDICARE",
            "identifier": "590059244",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHILLIPS COUNTY AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHILLIPS COUNTY EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHILLIPS COUNTY EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Newbern Family Healthcare, LLC
• Carmen Norville, D.P.T.
• Theresa Ohl, FNP-BC
• Joanne Oliver
• Phillips County
• Phillips County Hospital Assn
• Phillips County Hospital Assn
• Phillips County Hospital Assn
• Phillips County Hospital Assn
• Phillips County Hospital Assn.

• Land Ambulance in Malta, MT
• Providers in Malta, MT by specialty
• Land Ambulance in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.

Verify at the official NPI Registry.