Anaconda-Deer Lodge County

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

001 Issued in MT

Legal business name

ANACONDA-DEER LODGE COUNTY

Practice address

420 W Commercial Ave
Anaconda, MT 59711-2172

Phone

(406) 563-2164

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

RJ Tocher

Title

Ambulance Supervisor

Phone

(406) 563-2164

Specialties & licenses 1

Addresses

Other identifiers 2

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).

• Anaconda Deer Lodge County

  • Public Health or Welfare Agency
  • Anaconda, MT
  • NPI 1902962103

  4789671413

  Same PAC ID

Tax ID family

Anaconda Deer Lodge Co2 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.

• Anaconda Deer Lodge Co Family Planning

  • Ambulatory Family Planning Facility
  • Anaconda, MT
  • NPI 1861511669
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Anaconda Deer Lodge County

  • Public Health or Welfare Agency
  • Anaconda, MT
  • NPI 1902962103
  NPPES parent name

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1811064397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112950",
            "telephone_number": "406-563-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W COMMERCIAL AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112172",
            "telephone_number": "406-563-2164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Main St",
            "address_purpose": "LOCATION",
            "city": "Anaconda",
            "state": "MT",
            "postal_code": "597112950",
            "country_code": "US",
            "telephone_number": "406-563-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANACONDA-DEER LODGE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "TOCHER",
        "authorized_official_first_name": "RJ",
        "authorized_official_title_or_position": "AMBULANCE SUPERVISOR",
        "authorized_official_telephone_number": "406-563-2164"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MT",
            "license": "001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590059327",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441701",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anaconda Deer Lodge County
• Anaconda Eye Care PLLC
• Anaconda Oxygen Service
• Anaconda Physical Therapy Center, PC
• Anaconda School District
• Anne Marie Aspholm, RN
• Jennifer D Austin, D.O.
• Aware Inc
• Rodney Babcock, D.C.
• Paige Marie Bahr, CSFA

• All providers in Anaconda, MT
• Land Ambulance in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.