Authentic Agenda, Inc.

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

Legal business name

AUTHENTIC AGENDA, INC.

Practice address

386 Hammond Creek Rd
Crazy Mountain Ranch
Clyde Park, MT 59018

Phone

(406) 600-2498

NPI assigned

Oct 15, 2011

Last updated

Oct 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian Carroll

Title

Secretary/Treasurer

Phone

(406) 600-2498

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318636800000",
    "number": "1851676365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BUCKRAKE AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 HAMMOND CREEK RD",
            "address_2": "CRAZY MOUNTAIN RANCH",
            "city": "CLYDE PARK",
            "state": "MT",
            "postal_code": "59018",
            "telephone_number": "406-600-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC AGENDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-15",
        "last_updated": "2011-10-15",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "406-600-2498",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Basic Emergency Medical Technician in Clyde Park, MT
• Providers in Clyde Park, MT by specialty
• Basic Emergency Medical Technician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; 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.