NPIMap

Organization Active NPI

Augusta Volunteer Ambulance

  • Land Ambulance
  • Augusta, MT
National Provider Identifier
1780752295
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
AUGUSTA VOLUNTEER AMBULANCE
Practice address
410 Manix Street
Augusta, MT 59410-0408
Phone
(406) 562-3697
NPI assigned
Dec 1, 2006
Last updated
Jun 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Authorized official

Name
Mr. Kurt R Geise
Title
President
Phone
(406) 562-3697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X MT Primary

Addresses

Primary practice location

410 Manix Street
Augusta, MT 59410-0408

Mailing address

PO Box 408
Augusta, MT 59410-0408
Phone (406) 562-3277

Other identifiers 2

IdentifierTypeStateIssuer
0000001422OtherMTBLUE CROSS BLUE SHIELD MT
0446498MedicaidMT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1780752295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 408",
            "city": "AUGUSTA",
            "state": "MT",
            "postal_code": "594100408",
            "telephone_number": "406-562-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MANIX STREET",
            "city": "AUGUSTA",
            "state": "MT",
            "postal_code": "594100408",
            "telephone_number": "406-562-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA VOLUNTEER AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "GEISE",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-562-3697",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MT",
            "identifier": "0000001422",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446498",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.