Organization Active NPI

Big Mountain Fire District

  • Land Ambulance
  • Whitefish, MT
National Provider Identifier
1881633543
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
154 Issued in MT
Legal business name
BIG MOUNTAIN FIRE DISTRICT
Practice address
3790 Big Mountain Rd.
Whitefish, MT 59937
Phone
(406) 862-3748
Fax
(406) 862-8554
NPI assigned
Jun 6, 2006
Last updated
Mar 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Authorized official

Name
John R Ungaretti, CCEMTP
Title
Captain
Phone
(406) 862-3748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 154 MT Primary

Addresses

Primary practice location

3790 Big Mountain Rd.
Whitefish, MT 59937

Mailing address

PO Box 7374
Kalispell, MT 59904-7374
Phone (406) 253-7240

Other identifiers 2

IdentifierTypeStateIssuer
0441949MedicaidMT
65642OtherMTBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040130000823 MT Part B Supplier - Ambulance Service Supplier 7012810559 Practice locations: Whitefish, MT

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2101983Big Mountain Fire District3790 Big Mountain Road, Whitefish, MT 59937Certificate of waiverSep 13, 2027

National Provider Directory

National Provider Directory

Locations

3790 Big Mountain Rd
Whitefish, MT 59937
Phone (406) 862-3748

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1881633543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7374",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599047374",
            "telephone_number": "406-253-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 BIG MOUNTAIN RD.",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "59937",
            "telephone_number": "406-862-3748",
            "fax_number": "406-862-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG MOUNTAIN FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "UNGARETTI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "406-862-3748",
        "authorized_official_credential": "CCEMTP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MT",
            "license": "154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0441949",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65642",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.