Community Ambulance Service of Western Sanders County, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

061BLS Issued in MT

Legal business name

COMMUNITY AMBULANCE SERVICE OF WESTERN SANDERS COUNTY, INC.

Practice address

311 Noxon Ave
Noxon, MT 59853-0170

Phone

(406) 847-2415

Fax

(403) 847-3415

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Geri Lee

Title

Billing Agent

Phone

(406) 847-2415

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Noxon Ambulance Other name

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1710080817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170",
            "city": "NOXON",
            "state": "MT",
            "postal_code": "598530170",
            "telephone_number": "406-847-2415",
            "fax_number": "406-847-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NOXON AVE",
            "city": "NOXON",
            "state": "MT",
            "postal_code": "598530170",
            "telephone_number": "406-847-2415",
            "fax_number": "403-847-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY AMBULANCE SERVICE OF WESTERN SANDERS COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GERI",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "406-847-2415"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MT",
            "license": "061BLS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446615",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "01722",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE",
            "identifier": "590007418",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noxon Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charles Thaddeus Barrus, CNA
• Lori Benson, MSPT
• Tammy Denton Clark, LCSW
• JS Aumiller MD PLLC
• Noxon School District
• Angela J Patten, DPT
• Pine & River Home Care LLC
• Plains Hospital Corporation

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.