Active NPI
SHC 2021 LLC
Doing business as Sidney Health Center Care Flight
- Air Ambulance
- Sidney, MT
National Provider Identifier
1912573965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- Legal business name
- SHC 2021 LLC
- Doing business as
- Sidney Health Center Care Flight
- Practice address
- 544 Airport Rd
Sidney, MT 59270-3638 - Phone
- (406) 488-2117
- Fax
- (406) 488-2115
- NPI assigned
- Jun 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Keller
- Title
- President
- Phone
- (406) 488-2036
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Primary |
Addresses
Primary practice location
544 Airport Rd
Sidney, MT 59270-3638
Mailing address
2403 Air Cargo Dr
Grand Forks, ND 58203-8944
Phone (406) 488-2036
Other names 1
- Sidney Health Center Care Flight
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211116001384 | MT | Part B Supplier - Ambulance Service Supplier | 3870982606 | Practice locations: Sidney, MT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D2237972 | SHC 2021, LLC Dba Sidney Health Center Care Flight | Certificate of waiver | Sep 28, 2027 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
Locations
540 Airport Rd
Sidney, MT 59270
216 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100
14127 Jensen Ln
Williston, ND 58801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741305600000",
"number": "1912573965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 AIR CARGO DR",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582038944",
"telephone_number": "406-488-2036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 AIRPORT RD",
"city": "SIDNEY",
"state": "MT",
"postal_code": "592703638",
"telephone_number": "406-488-2117",
"fax_number": "406-488-2115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHC 2021 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-01",
"last_updated": "2025-03-07",
"certification_date": "2025-03-05",
"status": "A",
"authorized_official_last_name": "KELLER",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "406-488-2036"
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sidney Health Center Care Flight",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sidney Health Center Care Flight",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sidney, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.